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Individual

JEFFREY RICHARD COPELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSGT.

Contact information

Practice address
598 GRAND AVE APT 2, SAINT PAUL, MN 55102-2642
(612) 999-5244
Mailing address
598 GRAND AVE APT 2, SAINT PAUL, MN 55102-2642
(612) 999-5244

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
09/11/2025
Last updated
09/11/2025
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