Individual
JOY L COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
US HWY 160 & NAVAJO ROUTE 35 - RED MESA, TEECNOSPOS, AZ 86514
(928) 656-5165
(928) 656-5164
Mailing address
HCR 6100 BOX 30, TEECNOSPOS, AZ 86514
(928) 656-5165
(928) 656-5164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
125332
CO
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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