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Individual
ALEXANDRA COPELAND
Active
Individual
ALEXANDRA COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG002667
PA
152WL0500X
Low Vision Rehabilitation Optometrist
046010680
IL
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
4901004798
MI
Other
Enumeration date
07/19/2012
Last updated
07/17/2020
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