Dr. John A Cooper Jr.

BUSINESS ADDRESS:
231 NORTH SHIPPEN PLACE
SUITE 3D
Lancaster, PA 17602

ADDRESS & CONTACT INFORMATION

BUSINESS ADDRESS:	231 NORTH SHIPPEN PLACE SUITE 3D Lancaster, PA 17602
PHONE:	(717) 392-3211
FAX:	(717) 392-5506

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Name Prefix		Dr., Mr., Ms.
First Name		John
Middle Name		D., Joe
Last Name		Doe
Name Suffix		O.D.
Address		123 Streetname Ave.
Address Line 2		Suite 108
City		New York
State
Postal Code		90210, 90210-1234
Phone		(213) 555-1234
Fax		(213) 555-1234
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