Carly Cooper

NPI #1255129110 in Vermillion, South Dakota

Provider Information

NPI Number: 1255129110
Entity Type: Individual
Name: Carly Cooper
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 29, 2025
Last Updated: Apr 29, 2025

Practice Location

Address: 414 E CLARK ST APT 420
City: Vermillion
State: South Dakota
ZIP Code: 57069-2307
Phone: (605) 641-7117

Specialties & Taxonomy Codes

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

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