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Individual

STACEY COPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
507A W PUEBLO DR, ESPANOLA, NM 87532
(505) 484-9154
Mailing address
369 MONTEZUMA AVENUE, SANTA FE, NM 87501
(505) 447-9031

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
06/26/2023
Last updated
06/26/2023
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