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1255110656
AMBER KRISTINA COPELAND
VENICE, FL
NPI
1255110656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL 15451)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
AMBER KRISTINA COPELAND OT
200 NASSAU ST N
VENICE, FL 34285-1772
Phone number: 941-485-2404
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Mailing Address
AMBER KRISTINA COPELAND OT
3964 ASHWOOD LN
SARASOTA, FL 34232-1231
Phone number: 863-214-9962
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