Individual
SHAWN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED DIETITIAN
Contact information
Practice address
6171 MAXWELL DR, MADISON, OH 44057-2068
(440) 417-8418
Mailing address
6171 MAXWELL DR, MADISON, OH 44057-2068
(440) 417-8418
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7714
OH
Other
Enumeration date
03/11/2024
Last updated
08/13/2024
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