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COOPER L RENDON — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, MN)

COOPER L RENDON — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, MN) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: COOPER L RENDON; Type: Individual; NPI: 1003199068.

NameCOOPER L RENDON
TypeIndividual
NPI1003199068
Provider typePRACTITIONER - PHYSICIAN ASSISTANT
StateMN
Enrollment IDI20141124000176
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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