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1154528123
GREGORY LEE COPELAND
FRESNO, CA
NPI
1154528123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A10829)
Enumeration Date
2007-07-02
Last Update Date
2016-08-05
Business Address
-- GREGORY LEE COPELAND DO
7145 N CHESTNUT AVE STE 101
FRESNO, CA 93720-0359
Phone number: 559-284-7264
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Mailing Address
-- GREGORY LEE COPELAND DO
2625 E DIVISADERO ST
FRESNO, CA 93721-1431
Phone number:
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