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Individual
TAMARA COPELAND
Active
Individual
TAMARA COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1295192805
IL
363LF0000X
Family Nurse Practitioner
Primary
209.013446
IL
Other
Enumeration date
01/27/2016
Last updated
10/22/2020
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