MR. Jared Brian Cooper

NPI #1043492820 in Lackland a F B, Texas

Provider Information

NPI Number: 1043492820
Entity Type: Individual
Name: MR. Jared Brian Cooper
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 3, 2007
Last Updated: Sep 11, 2008

Practice Location

Address: 2200 BERGQUIST DR STE 1
City: Lackland a F B
State: Texas
ZIP Code: 78236-9908
Phone: (210) 292-5968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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