Individual
MS. LERONICA JAM'ES COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1718 COUNTRY PLACE CT, MEXICO, MO 65265-3665
(573) 253-3252
Mailing address
1718 COUNTRY PLACE CT, MEXICO, MO 65265-3665
(573) 253-3252
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2006032265
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006032265
MISSOURI STATE BOARD OF NURSING
MO
Enumeration date
04/27/2013
Last updated
04/27/2013
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