Individual
MS. NANCEE IDA KOPANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2023 PENBROOKE TRL, CENTERVILLE FINANCE, OH 45459-3433
(937) 432-2167
Mailing address
2337 PEMBURY DR, XENIA, OH 45385-4723
(937) 372-4928
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2522176
PROVIDER NUMBER
OH
Enumeration date
03/19/2007
Last updated
07/08/2007
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