CHARLES LEE COPELAND

FORT WAYNE, IN
NPI1336460161
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2010-06-16
Last Update Date2012-08-30
Business Address
-- CHARLES LEE COPELAND PA-C
7900 W JEFFERSON BLVD SUITE 304
FORT WAYNE, IN 46804-4128
Phone number: 260-969-6200
Mailing Address
-- CHARLES LEE COPELAND PA-C
PO BOX 8857
FORT WAYNE, IN 46898-8857
Phone number: 260-969-6200
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