Individual
JENNIFER MARIE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1800 RENAISSANCE BLVD, EDMOND, OK 73013-3023
(405) 359-2472
Mailing address
1112 NW 34TH ST, OKLAHOMA CITY, OK 73118-5613
(405) 664-6612
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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