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1366101131
KELLI RENEE COPPOCK
PORTSMOUTH, OH
NPI
1366101131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: OH 2913182)
Enumeration Date
2021-12-09
Last Update Date
2021-12-09
Business Address
Mrs. KELLI RENEE COPPOCK STNA
1925 18TH ST
PORTSMOUTH, OH 45662-3129
Phone number: 740-354-3528
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Mailing Address
Mrs. KELLI RENEE COPPOCK STNA
1925 18TH ST
PORTSMOUTH, OH 45662-3129
Phone number: 740-354-3528
Copy
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