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Individual

MERRELL N COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
531 ADAMS STREET, MORTON, WA 98356-0018
(360) 496-5145
(360) 496-5093
Mailing address
531 ADAMS STREET, MORTON, WA 98356-0988
(360) 496-5145
(360) 496-5093

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001426
WA

Other

Enumeration date
10/05/2006
Last updated
07/10/2007
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