Individual
MRS. SANDRA RENEE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPSGT
Contact information
Practice address
761 TANK BATTALION, BLDG. 412, FORT HOOD, TX 76544-4906
(254) 553-7720
(254) 553-7724
Mailing address
4716 GLASS MOUNTAIN DR, KILLEEN, TX 76542-8355
(352) 321-1732
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
13706
FL
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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