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1497704035
WANDA S COPELAND
CHARLESTON, SC
NPI
1497704035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 669)
Enumeration Date
2006-05-10
Last Update Date
2010-04-13
Business Address
Ms. WANDA S COPELAND PA C
21 D GAMECOCK AVE
CHARLESTON, SC 29407-3368
Phone number: 843-763-7906
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Mailing Address
Ms. WANDA S COPELAND PA C
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620
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