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Individual

CHIQUITA CLAYNEESE COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
501 N JEFFERSON ST, MEDINA, OH 44256-1743
(216) 772-9877
Mailing address
501 N JEFFERSON ST, MEDINA, OH 44256-1743
(216) 772-9877

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
11/22/2024
Last updated
09/11/2025
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