Individual
DECONTEE G COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 BROOKFIELD RD, COLUMBUS, OH 43229-3924
(614) 425-7943
Mailing address
2110 BROOKFIELD RD, COLUMBUS, OH 43229-3924
(614) 425-7943
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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