ALYSSA NICOLE KOOPAL

ALBANY, GA
NPI1497221089
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  9443)
Enumeration Date2018-10-22
Last Update Date2022-10-24
Business Address
ALYSSA NICOLE KOOPAL PA
1712A E BROAD AVE
ALBANY, GA 31705-2611
Phone number: 229-639-3100
Mailing Address
ALYSSA NICOLE KOOPAL PA
142 PLANTATION DR
LEESBURG, GA 31763-4284
Phone number: 310-650-2839
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