Individual
MR. JAMES GEORGE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1020 WENZ RD, TOLEDO, OH 43615-7174
(419) 381-3259
Mailing address
1020 WENZ RD, TOLEDO, OH 43615-7174
(419) 381-3259
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 120157
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2607987
—
OH
Enumeration date
06/19/2006
Last updated
07/09/2007
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