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Individual

MRS. JOANN CELESTE KOEPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
68-625 PEREZ ROAD SUITE 11A, CATHEDRAL CITY, CA 92234
(760) 773-6760
Mailing address
68625 PEREZ RD STE 11A, CATHEDRAL CTY, CA 92234-7250
(760) 773-6767

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
586538
CA

Other

Enumeration date
01/28/2008
Last updated
01/11/2012
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