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Individual

MS. LINDA TATKO COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1295 STATE ST, C 340, SPRINGFIELD, MA 01111-0001
(413) 744-5836
Mailing address
225 MAYNARD RD, WILBRAHAM, MA 01095-1211
(413) 599-0218

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
003342
CT
363LF0000X
Family Nurse Practitioner
Primary
145547
MA

Other

Enumeration date
02/22/2007
Last updated
07/08/2007
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