LARRY RAY COPPOCK

OKLAHOMA CITY, OK
NPI1649334863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy242T00000X Perfusionist
(Licence: OK  LP7)
Additional Taxonomies247200000X 
(Licence: OK  LP7)
Enumeration Date2006-12-21
Last Update Date2011-08-24
Business Address
Mr. LARRY RAY COPPOCK CCP LP RN
3601 N MAY AVE SUITE C
OKLAHOMA CITY, OK 73112-6641
Phone number: 405-604-5613
Mailing Address
Mr. LARRY RAY COPPOCK CCP LP RN
PO BOX 12815 3601 N MAY AVENUE SUITE C
OKLAHOMA CITY, OK 73157-2815
Phone number: 405-604-5613
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