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1861699605
LISA MARIE KOOPMAN
OSWEGO, IL
NPI
1861699605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2007-06-27
Last Update Date
2007-07-08
Business Address
Mrs. LISA MARIE KOOPMAN
255 BLUEGRASS PKWY
OSWEGO, IL 60543-7709
Phone number: 630-551-1089
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Mailing Address
Mrs. LISA MARIE KOOPMAN
255 BLUEGRASS PKWY
OSWEGO, IL 60543-7709
Phone number: 630-551-1089
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