Individual
JARED RAYMOND COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
606 W WILBUR MILLS AVE, KENSETT, AR 72082-9051
(501) 742-5697
Mailing address
606 W WILBUR MILLS AVE, KENSETT, AR 72082-9051
(501) 742-5697
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L059892
AR
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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