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VIRGINIA LEE COOPER RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1124365705

Individual Registrant:
 VIRGINIA LEE COOPER RN
Gender: F
Sole Proprietor

Location and contact information for practice:
6649 75TH ST NW APT B ORONOCO, MN 55960-2180 US
Tel: 608-769-5591  Fax: --

Contact information for business:
6649 75TH ST NW APT B ORONOCO, MN 55960-2180 US
Tel: 608-769-5591  Fax: --

Registration Information:
NPI: 1124365705
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
MNR167746-1

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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