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1710387048
MICHAEL KOPRIVNIK
NEWCASTLE, OK
NPI
1710387048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 4806)
Enumeration Date
2014-08-22
Last Update Date
2014-08-22
Business Address
-- MICHAEL KOPRIVNIK
3699 NW 32ND ST
NEWCASTLE, OK 73065-6559
Phone number: 405-387-5520
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Mailing Address
-- MICHAEL KOPRIVNIK
3699 NW 32ND ST
NEWCASTLE, OK 73065-6559
Phone number: 405-387-5520
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