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Individual

MRS. RAMONA BOULWARD COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-4859
(803) 898-4899
Mailing address
105 LEONARD DR, LEXINGTON, SC 29072-9305
(803) 957-6957

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
18568
SC

Other

Enumeration date
07/14/2006
Last updated
07/08/2007
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