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Individual

JANE AMBER COPILOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNP

Contact information

Practice address
1711 OCEAN PARK BLVD, SANTA MONICA, CA 90405-4901
(310) 450-4773
(310) 450-0873
Mailing address
111 WAVECREST AVE, VENICE, CA 90291-3369
(310) 392-3287

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
377033
CA

Other

Enumeration date
01/29/2007
Last updated
07/08/2007
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