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1326549254
RUSSELL KOPPIN
SOUTHFIELD, MI
NPI
1326549254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201009780)
Enumeration Date
2018-02-26
Last Update Date
2021-06-23
Business Address
RUSSELL KOPPIN OT
21700 NORTHWESTERN HWY
SOUTHFIELD, MI 48075-4906
Phone number: 313-600-8563
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Mailing Address
RUSSELL KOPPIN OT
21700 NORTHWESTERN HWY
SOUTHFIELD, MI 48075-4906
Phone number: 313-600-8563
Copy
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