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Individual

GREGORY COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
119 GRANDISON AVE, LESTER, WV 25865
(304) 894-2592
Mailing address
PO BOX 91, LESTER, WV 25865-0091

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/16/2025
Last updated
06/16/2025
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