Individual
LAVINCE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT. CMMP.
Contact information
Practice address
35285 N KARAN SWISS CIR, SAN TAN VALLEY, AZ 85143-4994
(480) 299-1194
(480) 882-9036
Mailing address
35285 N KARAN SWISS CIR, SAN TAN VALLEY, AZ 85143-4994
(480) 299-1194
(480) 882-9036
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-12125
AZ
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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