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Individual

JUANITA COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
800 S BROWN ST, SPRINGFIELD, TN 37172-2920
(615) 384-4504
Mailing address
800 S BROWN ST, SPRINGFIELD, TN 37172-2920
(615) 384-4504

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
168538
TN

Other

Enumeration date
10/19/2018
Last updated
10/19/2018
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