Individual
CAITLYN MARIE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 572-3200
Mailing address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
AZ
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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