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1063702256
BLAINE LAUREN COPPAKEN
OVERLAND PARK, KS
NPI
1063702256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: KS 2975)
Enumeration Date
2011-04-09
Last Update Date
2011-04-09
Business Address
Mrs. BLAINE LAUREN COPPAKEN SLP
5211 W 103RD ST
OVERLAND PARK, KS 66207-3154
Phone number: 913-383-2569
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Mailing Address
Mrs. BLAINE LAUREN COPPAKEN SLP
13149 BIRCH ST
OVERLAND PARK, KS 66209-2917
Phone number: 913-558-4148
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