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1245637487
LATISHA COPPLE
SAINT LOUIS, MO
NPI
1245637487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: MO 2013035086)
Enumeration Date
2014-12-03
Last Update Date
2014-12-03
Business Address
-- LATISHA COPPLE
1430 OLIVE ST SUITE 100
SAINT LOUIS, MO 63103-2303
Phone number: 314-621-5000
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Mailing Address
-- LATISHA COPPLE
516 N AUGUST ST APT 2A
MASCOUTAH, IL 62258-1536
Phone number: 618-708-0924
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