MRS. Bethany Cooper

NPI #1306207675 in Charlevoix, Michigan

Provider Information

NPI Number: 1306207675
Entity Type: Individual
Name: MRS. Bethany Cooper
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Mar 15, 2016
Last Updated: Mar 15, 2016

Practice Location

Address: 1224 JEFFREY LN
City: Charlevoix
State: Michigan
ZIP Code: 49720-8968
Phone: (231) 547-4003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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