Leslie Cooper

NPI #1114343019 in Provo, Utah

Provider Information

NPI Number: 1114343019
Entity Type: Individual
Name: Leslie Cooper
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Mar 16, 2014
Last Updated: Mar 16, 2014

Practice Location

Address: 1726 BUCKLEY LN
City: Provo
State: Utah
ZIP Code: 84606-5031
Phone: (801) 373-6562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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