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Individual

REBECKA LYNN COOPERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
11230 SORRENTO VALLEY RD, SUITE 120, SAN DIEGO, CA 92121-1332
(858) 546-7600
(858) 408-4281
Mailing address
11230 SORRENTO VALLEY RD, SUITE 120, SAN DIEGO, CA 92121-1332
(858) 546-7600
(858) 408-4281

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
574398
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
20878
CA
364S00000X
Clinical Nurse Specialist
3619
CA

Other

Enumeration date
01/25/2010
Last updated
02/03/2015
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