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1326660879
MICHAEL VANKOPPEN
ORADELL, NJ
NPI
1326660879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ 25MT00270300)
Enumeration Date
2020-05-07
Last Update Date
2020-05-07
Business Address
MICHAEL VANKOPPEN LAT, ATC
1040 ORADELL AVE
ORADELL, NJ 07649-1954
Phone number: 201-261-1844
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Mailing Address
MICHAEL VANKOPPEN LAT, ATC
14 BOGERT RD
PINE BROOK, NJ 07058-9726
Phone number: 973-618-6738
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