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Individual

MRS. VIRGINIA DIANE COPAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN.C.

Contact information

Practice address
904 FORDTOWN RD, KINGSPORT, TN 37663-3208
(423) 354-1760
Mailing address
2312 COLONIAL VIEW ROAD, KINGSPORT, TN 37663
(423) 239-3614

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN0000085014
TN

Other

Enumeration date
10/01/2007
Last updated
10/01/2007
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