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1336625896
MICHAEL LEWIS COPE
RIVERSIDE, CA
NPI
1336625896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
224P00000X Prosthetist
(Licence: CPO03339)
Additional Taxonomies
222Z00000X Orthotist
(Licence: CPO03339)
Enumeration Date
2018-07-17
Last Update Date
2018-07-17
Business Address
MR. MICHAEL LEWIS COPE CPO
6927 BROCKTON AVE STE 2A
RIVERSIDE, CA 92506-3807
Phone number: 951-500-6745
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Mailing Address
MR. MICHAEL LEWIS COPE CPO
29645 RANCHO CALIFORNIA RD STE 213
TEMECULA, CA 92591-5285
Phone number: 951-506-8453
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