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1043712383
GREGORY SOPKA
COOS BAY, OR
NPI
1043712383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-03-02
Last Update Date
2018-03-02
Business Address
Mr. GREGORY SOPKA PA
1900 WOODLAND DR
COOS BAY, OR 97420-2045
Phone number: 541-267-5151
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Mailing Address
Mr. GREGORY SOPKA PA
2180 WESTERN MEADOWS DR
FLUSHING, MI 48433-9447
Phone number: 810-347-1881
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