Individual
MS. CLARICE LOUISE COOPER
Active
Individual
MS. CLARICE LOUISE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN22954
MT
163WC1500X
Community Health Registered Nurse
RN22954
MT
Other
Enumeration date
10/03/2006
Last updated
02/24/2011
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