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Gayvon Cooper

NPI 1164662078 · on the registry since 2009 · sole proprietor

Practice

Address
28042 Brush St
Madison Hts, MI 48071
Phone
(248) 404-8244

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan