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1528426939
MISTY COPEN
NACOGDOCHES, TX
NPI
1528426939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP130002)
Enumeration Date
2016-02-01
Last Update Date
2016-02-01
Business Address
Mrs. MISTY COPEN FNP-C
615 RUSSELL BLVD
NACOGDOCHES, TX 75965-1247
Phone number: 936-564-1740
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Mailing Address
Mrs. MISTY COPEN FNP-C
6649 FM 1878
NACOGDOCHES, TX 75961
Phone number: 318-773-9024
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