Individual
CHRISTINA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2995 WARRIOR LN, POPLAR BLUFF, MO 63901-8600
(573) 686-1200
Mailing address
2995 WARRIOR LN, POPLAR BLUFF, MO 63901-8600
(573) 686-1200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2010030078
MO
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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