Individual
MRS. DAWN A COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
639 BROADWAY, LONG BRANCH, NJ 07740-5443
(732) 229-3992
(732) 229-4102
Mailing address
639 BROADWAY, LONG BRANCH, NJ 07740-5443
(732) 229-3992
(732) 229-4102
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
D1325
NJ
Other
Enumeration date
11/29/2006
Last updated
07/09/2007
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