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Individual

DR. JEFFREY RAYMOND COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
915 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1973
(847) 744-3972
Mailing address
915 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1973
(847) 744-3972

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027651
IL

Other

Enumeration date
11/07/2008
Last updated
11/07/2008
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