MR. Matthew Larry Cooseman

NPI #1649307133 in Hazelwood, Missouri

Provider Information

NPI Number: 1649307133
Entity Type: Individual
Name: MR. Matthew Larry Cooseman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Local Education Agency (LEA)
Enumeration Date: Feb 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 8390 LATTY AVE
City: Hazelwood
State: Missouri
ZIP Code: 63042-3236
Phone: (314) 521-6060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Local Education Agency (LEA)	251300000X	Primary

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