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Individual

DR. RAY L COOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
134 CRITZ ST N, WIGGINS, MS 39577-3216
(601) 928-7901
(601) 928-2373
Mailing address
134 CRITZ ST N, WIGGINS, MS 39577-3216
(601) 928-7901
(601) 928-2373

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1357-69
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0060560
MS
Enumeration date
05/14/2007
Last updated
04/11/2017
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