Individual
CAROL ANN COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
351 S NORWALK RD W, NORWALK, OH 44857-9529
(419) 681-4299
Mailing address
351 S NORWALK RD W, NORWALK, OH 44857-9529
(419) 681-4299
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.115975 M-IV
OH
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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