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1093026643
CHRISTOPHER J. KOPACZ
JOLIET, IL
NPI
1093026643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160.004282)
Enumeration Date
2010-06-29
Last Update Date
2010-06-29
Business Address
MR. CHRISTOPHER J. KOPACZ PTA
1240 ESSINGTON RD SUITE 100
JOLIET, IL 60435-8426
Phone number: 815-744-7108
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Mailing Address
MR. CHRISTOPHER J. KOPACZ PTA
1240 ESSINGTON RD SUITE 100
JOLIET, IL 60435-8426
Phone number: 815-744-7108
Copy
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