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Individual

DAVID L COPELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NCTMB

Contact information

Practice address
938 W WINNEMUCCA BLVD, WINNEMUCCA, NV 89445-3629
(775) 623-1123
(775) 623-1126
Mailing address
PO BOX 1573, WINNEMUCCA, NV 89446-1573
(775) 623-1123
(775) 623-1126

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
340
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
340
LIC.NVMT
NV
01
399213.00
NCBTMB
Enumeration date
08/01/2007
Last updated
08/01/2007
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