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1437620259
MONTANA P COPPOCK
WEST LAFAYETTE, IN
NPI
1437620259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-12-06
Last Update Date
2018-12-06
Business Address
MONTANA P COPPOCK RBT
2555 YEAGER RD
WEST LAFAYETTE, IN 47906-1335
Phone number: 765-269-7756
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Mailing Address
MONTANA P COPPOCK RBT
12650 HAMILTON CROSSING BLVD
CARMEL, IN 46032-5400
Phone number: 317-249-2242
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