Individual
KATHLEEN NICOLE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1036 RONALD ST, VANDALIA, OH 45377-1634
(937) 723-1902
Mailing address
1036 RONALD ST, VANDALIA, OH 45377-1634
(937) 723-1902
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0383965
OH
Other
Enumeration date
01/26/2021
Last updated
01/30/2021
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