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1942847116
DANA MARIE KOPACZ
SHELBY TOWNSHIP, MI
NPI
1942847116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI 4704300032)
Enumeration Date
2019-12-05
Last Update Date
2019-12-05
Business Address
DANA MARIE KOPACZ
15125 22 MILE RD
SHELBY TOWNSHIP, MI 48315-4406
Phone number: 586-532-0599
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Mailing Address
DANA MARIE KOPACZ
9794 HILLCREST DR
PLYMOUTH, MI 48170-3236
Phone number: 248-990-2459
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