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1104174275
NICOLE KOPACZ
ANCHORAGE, AK
NPI
1104174275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AK 1316)
Enumeration Date
2012-08-21
Last Update Date
2012-08-21
Business Address
-- NICOLE KOPACZ ANP
3340 PROVIDENCE DR SUITE 452
ANCHORAGE, AK 99508-4691
Phone number: 907-562-2120
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Mailing Address
-- NICOLE KOPACZ ANP
3340 PROVIDENCE DR SUITE 452
ANCHORAGE, AK 99508-4691
Phone number: 907-562-2120
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