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1396124178
IAN THOMAS KOPRIVA
RAPID CITY, SD
NPI
1396124178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: SD 1845)
Enumeration Date
2015-05-26
Last Update Date
2015-05-26
Business Address
-- IAN THOMAS KOPRIVA P.T.
4141 5TH ST
RAPID CITY, SD 57701-6021
Phone number: 605-399-9565
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Mailing Address
-- IAN THOMAS KOPRIVA P.T.
4141 5TH ST
RAPID CITY, SD 57701-6021
Phone number: 605-399-9565
Copy
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