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1073845988
JOHNNA COPPOCK
STOCKTON, CA
NPI
1073845988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 1003117)
Enumeration Date
2010-02-02
Last Update Date
2022-01-03
Business Address
MRS. JOHNNA COPPOCK RD
1800 N CALIFORNIA ST
STOCKTON, CA 95204-6019
Phone number: 209-467-6356
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Mailing Address
MRS. JOHNNA COPPOCK RD
1800 N CALIFORNIA ST
STOCKTON, CA 95204-6019
Phone number: 209-467-6356
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