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1588492904
THEODORE A KOPROVIC
FAYETTEVILLE, AR
NPI
1588492904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-07-25
Last Update Date
2024-10-21
Business Address
THEODORE A KOPROVIC
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
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Mailing Address
THEODORE A KOPROVIC
60 W SUNBRIDGE DR
FAYETTEVILLE, AR 72703-1822
Phone number: 479-695-1240
Copy
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