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Individual

JENNY COOC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5555 N FRESNO ST, FRESNO, CA 93710-6006
(559) 430-8211
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
20348
CA

Other

Enumeration date
08/09/2019
Last updated
08/09/2019
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