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1205004421
JOAN KOPRIVNIKAR
PUEBLO, CO
NPI
1205004421
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084F0202X Psychiatry & Neurology, Forensic Psychiatry
(Licence: CO 41316)
Enumeration Date
2008-02-11
Last Update Date
2008-02-11
Business Address
Dr. JOAN KOPRIVNIKAR M.D.
1410 W 13TH ST
PUEBLO, CO 81003-1961
Phone number: 719-583-5540
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Mailing Address
Dr. JOAN KOPRIVNIKAR M.D.
1410 W 13TH ST
PUEBLO, CO 81003-1961
Phone number: 719-583-5540
Copy
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