Individual
BECCA NICOLE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13955 W PRESERVE BLVD, SUITE 200, BURNSVILLE, MN 55337-7733
(952) 890-0804
Mailing address
1672 MCANDREWS RD W, BURNSVILLE, MN 55337-5008
(952) 435-5954
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/29/2009
Last updated
11/29/2009
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