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Individual

ROSS JUSTIN COOPER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.A., A.T.C., CSCS

Contact information

Practice address
22305 W 13 MILE RD, BEVERLY HILLS, MI 48025-4435
(248) 646-7717
(248) 540-2152
Mailing address
3818 DUKESHIRE HWY, ROYAL OAK, MI 48073-6430
(248) 549-3135

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/21/2006
Last updated
07/08/2007
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