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Individual

DEANGELO CARTEZ COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4371 NARROW LANE RD STE 205, MONTGOMERY, AL 36116-2975
(334) 323-3307
Mailing address
2008 LONGLEAF DR APT G, VESTAVIA HILLS, AL 35216-6210
(205) 568-5470

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018071930
AL

Other

Enumeration date
03/07/2019
Last updated
03/07/2019
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