Individual
BILLY WAYNE COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2208 N MINNESOTA AVE, SHAWNEE, OK 74804-3029
(405) 275-7214
Mailing address
2208 N MINNESOTA AVE, SHAWNEE, OK 74804-3029
(405) 275-7214
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/25/2016
Last updated
06/25/2016
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