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Individual

MRS. CHERYL BETH COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.O.

Contact information

Practice address
1485 EL CAMIN0 REAL, SUITE 207, BELMONT, CA 94002-3318
(650) 551-1755
Mailing address
1485-EL CAMINO REAL AVE., SUITE 207, BELMONT, CA 94002-3318
(650) 551-1755

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D6732
CA

Other

Enumeration date
03/21/2007
Last updated
07/08/2007
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