Individual
KENAN ARMAND COOPER-GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27475 FERRY RD, WARRENVILLE, IL 60555-3808
(630) 717-2901
Mailing address
27475 FERRY RD, WARRENVILLE, IL 60555-3808
(630) 717-2901
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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