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Individual

CHERON COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NDTR

Contact information

Practice address
3344 MARINA RD APT 204, SOUTH MILWAUKEE, WI 53172-3963
(931) 637-4628
Mailing address
3344 MARINA RD APT 204, SOUTH MILWAUKEE, WI 53172-3963

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
136A00000X
Registered Dietetic Technician
Primary
86374592

Other

Enumeration date
05/27/2025
Last updated
06/17/2025
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