Jimmie Dean Copeland JR. LPN, LMT

NPI 1306068275 - Specialist - 174400000X

NPI Details
NPI 1306068275
Gender Male
Enumeration Date 05/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
104 E. WASHINGTON STREET
SUITE E.
QUINCY FL, 32351, US
Phone (850) 627-8591
Fax (850) 627-8277
Business Location
531 HIGHLAND AVENUE
QUINCY FL, 32351, US
Phone (850) 627-8591
Fax (850) 627-8277
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number MA39911
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According to our database, Mr. Jimmie Dean Copeland JR. LPN, LMT NPI is 1306068275, taxonomy code is 174400000X and license number is MA39911, license state is located at Florida. Jimmie Dean Copeland JR. LPN, LMT physically located at 104 E. Washington Street, Quincy FL, 32351. NPI Number Jimmie Dean Copeland JR. LPN, LMT has the Individual type.

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1306068275 NPI number is provided on an as is basis without warranty of any kind. 1306068275 is maintained by the National Plan & Provider Enumeration System. The contents of Jimmie Dean Copeland JR. LPN, LMT are for informational purposes only.