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Individual

HEATHER HALEY COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
411 S CENTRAL AVE, IDABEL, OK 74745-6059
(580) 286-5045
Mailing address
3750 E 2080 RD, FORT TOWSON, OK 74735-3501
(832) 745-2487

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/27/2024
Last updated
05/27/2024
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