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1396228904
RYAN PATRICK COPPENS
TAMPA, FL
NPI
1396228904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301017193)
Enumeration Date
2018-09-10
Last Update Date
2018-09-10
Business Address
Dr. RYAN PATRICK COPPENS Ph.D.
10770 N 46TH ST BLDG E
TAMPA, FL 33617-3442
Phone number: 808-498-3402
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Mailing Address
Dr. RYAN PATRICK COPPENS Ph.D.
10770 N 46TH ST BLDG E
TAMPA, FL 33617-3442
Phone number: 808-498-3402
Copy
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