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Individual

ASHLEY COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, C-NP

Contact information

Practice address
10201 N MAY AVE, OKLAHOMA CITY, OK 73120-2510
(405) 631-0611
Mailing address
PO BOX 135, DEPEW, OK 74028-0135

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95738
OK

Other

Enumeration date
11/07/2017
Last updated
12/18/2019
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