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Individual

HOLLY ANN COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
7860 GATE PKWY STE 106, JACKSONVILLE, FL 32256-7280
(904) 619-2703
(904) 619-2837
Mailing address
7860 GATE PKWY STE 106, JACKSONVILLE, FL 32256-7280
(904) 294-7287
(904) 619-2837

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24467
FL
225700000X
Massage Therapist

Other

Enumeration date
01/25/2021
Last updated
01/25/2021
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