Individual
MR. JIMMIE DEAN COPELAND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN, LMT
Contact information
Practice address
104 E. WASHINGTON STREET, SUITE E., QUINCY, FL 32351
(850) 627-8591
(850) 627-8277
Mailing address
531 HIGHLAND AVENUE, QUINCY, FL 32351
(850) 627-8591
(850) 627-8277
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA39911
FL
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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