Individual
JAMES V COOPER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 9TH ST S, FARGO, ND 58103-1831
(701) 212-8626
Mailing address
21 9TH ST S, FARGO, ND 58103-1830
(701) 212-8626
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
ND
175T00000X
Peer Specialist
Primary
—
ND
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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