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Individual

MR. MICHAEL STEPHEN COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
1005 HILL AVE, GRAND JUNCTION, CO 81501-3234
(303) 999-1973
Mailing address
1005 HILL AVE, GRAND JUNCTION, CO 81501-3234
(303) 999-1973

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1408
CO

Other

Enumeration date
04/22/2011
Last updated
04/22/2011
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