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1679601801
ETHEL JEAN COPELAND
SUFFOLK, VA
NPI
1679601801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: VA 0002067771)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
-- ETHEL JEAN COPELAND
2200 E WASHINGTON ST
SUFFOLK, VA 23434
Phone number: 757-934-2242
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Mailing Address
-- ETHEL JEAN COPELAND
2200 E WASHINGTON ST
SUFFOLK, VA 23434
Phone number: 757-934-2242
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