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Angela Diane Copple

Case Manager/Care Coordinator in Blythe, CA. Individual provider (NPI-1).

NPI number1073005807
StatusActive
Last updated in NPPESJun 6, 2018

Details

NPI
1073005807
Entity type
Individual (NPI-1)
Name
Mrs. Angela Diane Copple
Sex
Female
Sole proprietor
No
Enumeration date
Jun 6, 2018
Last updated
Jun 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

240 N Broadway
Blythe, CA 92225-1609

Phone 760-921-5860 · Fax 760-921-5886

Mailing address

240 N Broadway
Blythe, CA 92225-1609

Phone 760-921-5860 · Fax 760-921-5886

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