LAUREL JEAN COPPAGE

CAMARILLO, CA
NPI1558691667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  19318)
Enumeration Date2010-01-12
Last Update Date2010-01-12
Business Address
Ms. LAUREL JEAN COPPAGE FNP
1051 CENTENNIAL AVE
CAMARILLO, CA 93010-4715
Phone number: 805-415-3702
Mailing Address
Ms. LAUREL JEAN COPPAGE FNP
1051 CENTENNIAL AVE
CAMARILLO, CA 93010-4715
Phone number: 805-415-3702
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