person
Dylan R Cooper
Student in an Organized Health Care Education/Training Program in Gulfport, Mississippi
NPI 1063153682

Dylan R Cooper is a Student in an Organized Health Care Education/Training Program based in Hollywood, MS. Dylan R Cooper practices in Gulfport, MS. The NPI Number for Dylan R Cooper is 1063153682 and holds a License No. (Mississippi).

The current practice location address for Dylan R Cooper is 4500 13Th St, Gulfport, MS and can be reached out via phone at 208-589-5870.

Location: 4500 13Th St, Gulfport, MS, 33021-4722
person
Provider Profile Details
NPI Number
1063153682
Provider Name
Dylan R Cooper
Credential
Provider Entity Type
Individual
Gender
Male
Address
4500 13Th St, Gulfport, MS, 33021-4722
Phone Number
208-589-5870
Fax Number
Provider Enumeration Date
04/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4500 13Th St
City
State
Zip
39501-2569
Phone Number
208-589-5870
Fax Number
person
Provider Business Mailing Address Details
Address
4500 13Th St
City
State
Zip
39501-2569
Phone Number
208-589-5870
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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