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CLYDE COPELAND

>> Driver >> Other Service Providers

Registrant NPI Number: 1184987935

Individual Registrant:
 CLYDE  COPELAND 
Gender: M
Sole Proprietor

Location and contact information for practice:
5465 SCENIC HTS  MANCHESTER, GA 31816 US
Tel: 706-846-5410  Fax: --

Contact information for business:
5465 SCENIC HTS  MANCHESTER, GA 31816-6839 US
Tel: 706-846-5410  Fax: --

Registration Information:
NPI: 1184987935
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172A00000XOther Service Providers
Driver
GA

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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