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1528013539
DAVID RAYMOND KOPACZ
CHAMPAIGN, IL
NPI
1528013539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036093022)
Enumeration Date
2006-05-24
Last Update Date
2007-07-08
Business Address
Dr. DAVID RAYMOND KOPACZ M.D.
302 W HILL ST SUITE 203
CHAMPAIGN, IL 61820-3562
Phone number: 217-363-2891
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Mailing Address
Dr. DAVID RAYMOND KOPACZ M.D.
302 W HILL ST SUITE 203
CHAMPAIGN, IL 61820-3562
Phone number: 217-363-2891
Copy
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