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Individual

MISS ARIANNE CARISSA COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
25 CHURCH ST., WILKES BARRE, PA 18765-7804
(570) 808-8921
Mailing address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA058695
PA
363A00000X
Physician Assistant
Primary
OA003973
PA

Other

Enumeration date
10/24/2016
Last updated
04/27/2021
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