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Individual

ANGELA MAIRE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9536 CHANTICLEER CT, LAS VEGAS, NV 89129-7859
(702) 544-7009
Mailing address
5980 S DURANGO DR STE 131, LAS VEGAS, NV 89113-1775
(702) 917-7369

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/18/2025
Last updated
02/18/2025
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