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1265174957
KATHY ANNETTE KOPEC
FAIRFIELD, CT
NPI
1265174957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CT 5698)
Enumeration Date
2022-04-12
Last Update Date
2022-06-16
Business Address
KATHY ANNETTE KOPEC
52 BEACH RD STE 101
FAIRFIELD, CT 06824-6017
Phone number: 203-692-2180
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Mailing Address
KATHY ANNETTE KOPEC
177 WEST AVE APT 5
STAMFORD, CT 06902-5545
Phone number: 845-803-9658
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