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1821000464
THERESA CROCKER COPPOLA
CHARLOTTESVILLE, VA
NPI
1821000464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101057697)
Enumeration Date
2006-08-12
Last Update Date
2014-05-22
Business Address
-- THERESA CROCKER COPPOLA M.D.
650 PETER JEFFERSON PKWY SUITE 160
CHARLOTTESVILLE, VA 22911-8844
Phone number: 434-293-3890
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Mailing Address
-- THERESA CROCKER COPPOLA M.D.
650 PETER JEFFERSON PKWY SUITE 160
CHARLOTTESVILLE, VA 22911-8844
Phone number: 434-293-3890
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