Individual
COOPER LEO PARADISE FOULKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
18488
OR
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
Update your record
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