Individual
DONNA RAE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
20281 AVALANCHE RD, WHITEWOOD, SD 57793-6414
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P008223
SD
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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