MICHAEL SHAWN COPPOCK

OKLAHOMA CITY, OK
NPI1104516210
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  212739)
Enumeration Date2023-05-11
Last Update Date2023-05-11
Business Address
MICHAEL SHAWN COPPOCK
9600 BROADWAY EXT
OKLAHOMA CITY, OK 73114-7408
Phone number: 405-715-3610
Mailing Address
MICHAEL SHAWN COPPOCK
2212 RED ELM DR
EDMOND, OK 73013-5610
Phone number: 405-850-0850
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