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1295064707
GREGORY COPELAND
INGLEWOOD, CA
NPI
1295064707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-12-11
Last Update Date
2009-12-11
Business Address
-- GREGORY COPELAND
922 CENTINELA AVE # 7
INGLEWOOD, CA 90302-1539
Phone number: 310-895-4681
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Mailing Address
-- GREGORY COPELAND
922 CENTINELA AVE # 7
INGLEWOOD, CA 90302-1539
Phone number: 310-895-4681
Copy
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