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Individual
ILEY SCOTT COPELAND
Active
Individual
ILEY SCOTT COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7871978
ID
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-100093
MT
363A00000X
Physician Assistant
PA60870353
WA
Other
Enumeration date
07/03/2018
Last updated
07/08/2026
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