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Individual

DR. DARYL LEE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2920 ENLOE ST STE 105, HUDSON, WI 54016-8191
(715) 808-0716
(715) 808-0807
Mailing address
2920 ENLOE ST STE 105, HUDSON, WI 54016-8191
(715) 808-0716
(715) 808-0807

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1664-012
WI
111N00000X
Chiropractor
1740
MN

Other

Enumeration date
06/16/2009
Last updated
10/26/2017
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