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1023025566
ROGER K KOOPMAN
WHITE BEAR LAKE, MN
NPI
1023025566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 9934)
Enumeration Date
2006-08-01
Last Update Date
2018-03-17
Business Address
ROGER K KOOPMAN PA
2730 COUNTY ROAD E E
WHITE BEAR LAKE, MN 55110-4963
Phone number: 866-389-2727
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Mailing Address
ROGER K KOOPMAN PA
2730 COUNTY ROAD E E
WHITE BEAR LAKE, MN 55110-4963
Phone number: 866-389-2727
Copy
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