Individual
MANDY COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N BAILEY AVE, NORTH PLATTE, NE 69101-5436
(308) 534-0440
Mailing address
110 N BAILEY AVE, NORTH PLATTE, NE 69101-5436
(308) 534-0440
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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