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Individual

CHRISTOPHER COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4200 SUN N LAKE BLVD, SEBRING, FL 33872-1986
(863) 385-8655
Mailing address
PO BOX 751, SEBRING, FL 33871-0751

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11012751
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
0
Enumeration date
06/24/2021
Last updated
06/24/2021
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