Individual
JOHN COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E AVE, CORONADO, CA 92118-1715
(619) 610-8002
Mailing address
401 E AVE, CORONADO, CA 92118-1715
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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