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Individual

DAISY COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4900 MERIDIAN ST NW, NORMAL, AL 35762-7500
(256) 372-8776
Mailing address
4900 MERIDIAN ST NW STE 130, NORMAL, AL 35762-7500

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AL

Other

Enumeration date
10/14/2025
Last updated
10/14/2025
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