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Individual

JASON COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HCP

Contact information

Practice address
2680 E MAIN ST STE 307, PLAINFIELD, IN 46168-2949
(317) 409-3681
Mailing address
2680 E MAIN ST STE 307, PLAINFIELD, IN 46168-2949
(317) 409-3681

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001200A
IN
332S00000X
Hearing Aid Equipment
17001200A
IN

Other

Enumeration date
09/01/2021
Last updated
09/01/2021
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