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1326215724
KENNETH EDWARD KOPITZKE
CLEARWATER, FL
NPI
1326215724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2008-05-14
Last Update Date
2008-05-14
Business Address
-- KENNETH EDWARD KOPITZKE
15100 RESCUE WAY USCG AIR STATION CLEARWATER CLINIC
CLEARWATER, FL 33762
Phone number: 727-535-1437
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Mailing Address
-- KENNETH EDWARD KOPITZKE
15100 RESCUE WAY USCG AIR STATION CLEARWATER CLINIC
CLEARWATER, FL 33762
Phone number: 727-535-1437
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