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1003336512
JENNIFER COPPEDGE
LAKE CITY, FL
NPI
1003336512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-06-26
Last Update Date
2017-06-26
Business Address
JENNIFER COPPEDGE
4158 W US HIGHWAY 90 STE 101
LAKE CITY, FL 32055-4883
Phone number: 352-284-6057
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Mailing Address
JENNIFER COPPEDGE
4158 W US HIGHWAY 90 STE 101
LAKE CITY, FL 32055-4883
Phone number:
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