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1285392779
KATHLEEN R KOPACZ
CANON CITY, CO
NPI
1285392779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CO APN.0997105-NP)
Enumeration Date
2021-12-02
Last Update Date
2021-12-02
Business Address
KATHLEEN R KOPACZ NP
715 S 9TH ST
CANON CITY, CO 81212-4911
Phone number: 719-269-8820
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Mailing Address
KATHLEEN R KOPACZ NP
715 S 9TH ST
CANON CITY, CO 81212-4911
Phone number: 719-269-8820
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