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1023008042
HEATHER KOPONEN
FAIRBANKS, AK
NPI
1023008042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: AK 383)
Enumeration Date
2005-10-21
Last Update Date
2007-07-08
Business Address
-- HEATHER KOPONEN PA-C
1408 19TH AVE
FAIRBANKS, AK 99701-5903
Phone number: 907-451-6682
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Mailing Address
-- HEATHER KOPONEN PA-C
1408 19TH AVE
FAIRBANKS, AK 99701-5903
Phone number: 907-451-6682
Copy
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