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Individual

PAUL BRANDON COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
4505 MEMORIAL CIR, OKLAHOMA CITY, OK 73142
(405) 749-7099
(405) 755-9237
Mailing address
4505 MEMORIAL CIR, OKLAHOMA CITY, OK 73142-5004
(405) 749-7099
(405) 755-9237

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
100353
OK
363LF0000X
Family Nurse Practitioner
100353
OK

Other

Enumeration date
12/05/2006
Last updated
05/16/2018
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