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1689319675
CODY RAY COPELAND
TEXARKANA, TX
NPI
1689319675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1074218)
Enumeration Date
2022-05-03
Last Update Date
2022-05-03
Business Address
CODY RAY COPELAND NP-C
2600 SAINT MICHAEL DR
TEXARKANA, TX 75503-2372
Phone number: 903-614-5001
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Mailing Address
CODY RAY COPELAND NP-C
13797 HIGHWAY 71
FOUKE, AR 71837-9772
Phone number: 903-826-4179
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