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Tanisha Copeland
NPI 1164941118 · on the registry since 2017
Practice
- Address
- 1472 S 3rd Ave
Kankakee, IL 60901 - Phone
- (815) 386-4940
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Sex
- Female
- Record last updated
- 2017-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois