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1598339517
KRISTA MARIE KOPPENBERGER
ORMOND BEACH, FL
NPI
1598339517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9114379)
Enumeration Date
2021-05-14
Last Update Date
2021-10-18
Business Address
KRISTA MARIE KOPPENBERGER PA-C
802 STERTHAUS DR
ORMOND BEACH, FL 32174-5116
Phone number: 407-299-7333
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Mailing Address
KRISTA MARIE KOPPENBERGER PA-C
7652 ASHLEY PARK CT STE 305
ORLANDO, FL 32835-6199
Phone number:
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