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1942667290
JACKLYN COPPOLA
CANTON, MI
NPI
1942667290
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Former Name
JACKLYN CHARZYNSKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501017144)
Enumeration Date
2016-01-18
Last Update Date
2024-02-27
Business Address
Mrs. JACKLYN COPPOLA PT, DPT
1693 N CANTON CENTER RD
CANTON, MI 48187-2948
Phone number: 734-738-0000
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Mailing Address
Mrs. JACKLYN COPPOLA PT, DPT
33900 HARPER AVE STE 104
CLINTON TOWNSHIP, MI 48035-4258
Phone number: 586-350-2644
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