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1790270908
JONATHAN COPPENGER
SEVIERVILLE, TN
NPI
1790270908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 24356)
Enumeration Date
2018-06-29
Last Update Date
2023-05-12
Business Address
JONATHAN COPPENGER NP
1130 MIDDLE CREEK RD STE 270
SEVIERVILLE, TN 37862-3052
Phone number: 865-365-3074
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Mailing Address
JONATHAN COPPENGER NP
1130 MIDDLE CREEK RD STE 270
SEVIERVILLE, TN 37862-3052
Phone number: 865-365-3074
Copy
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