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Latina Cooper

NPI 1629426911 · on the registry since 2016 · sole proprietor

Practice

Address
912 E Lake St Uppr
Aurora, IL 60506
Phone
(630) 999-6215

Registry record

Primary taxonomy
Private Vehicle
347C00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-05-27

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 Illinois