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Individual

CATHLEEN MARIE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
251 LEATHERMAN RD, WADSWORTH, OH 44281-9236
(330) 334-6229
(330) 334-6110
Mailing address
251 LEATHERMAN RD, WADSWORTH, OH 44281-9236
(330) 433-1311

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6299
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0228242
OH
01
6299
LICENSE
OH
Enumeration date
09/20/2010
Last updated
04/09/2018
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