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1548404031
EBONY R COPELAND
CHICAGO, IL
NPI
1548404031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QA0000X Family Medicine, Adolescent Medicine
(Licence: NY 275661)
Enumeration Date
2009-04-28
Last Update Date
2014-08-13
Business Address
-- EBONY R COPELAND M.D.
836 W WELLINGTON AVE
CHICAGO, IL 60657-5147
Phone number: 773-296-8250
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Mailing Address
-- EBONY R COPELAND M.D.
85 W BURNSIDE AVE
BRONX, NY 10453-4015
Phone number: 718-483-1270
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