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Individual

ASHLEY COPPER-CHARLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
1653 W WYOMING AVE, PHILADELPHIA, PA 19140-1133
(267) 979-0741
Mailing address
1653 W WYOMING AVE, PHILADELPHIA, PA 19140-1133
(267) 979-0741

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN320942
PA

Other

Enumeration date
05/25/2026
Last updated
05/25/2026
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