Individual
SUNNY SHIRENE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9933 E 61ST ST, TULSA, OK 74133-1504
(405) 408-9096
Mailing address
51 DOVE RD, LOCUST GROVE, OK 74352-7368
(405) 408-9096
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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