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Individual

CHRISTOPHER JOSS COPPOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
4131 JUSTIN SCOTT LN, GERMANTOWN, KY 41044-9011
(606) 375-3324
Mailing address
4131 JUSTIN SCOTT LN, GERMANTOWN, KY 41044-9011
(606) 375-3324

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1133999
KY
163W00000X
Registered Nurse
Primary
RN-282018
OH

Other

Enumeration date
08/31/2014
Last updated
08/31/2014
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