Individual
CATHERINE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1800 N JAMES H MCGEE BLVD, DAYTON, OH 45417-9526
(937) 262-3500
Mailing address
1446 CATALPA DR, DAYTON, OH 45406-4705
(937) 275-4291
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN069569
OH
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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