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Individual
JEAN F KOOPS
Active
Individual
JEAN F KOOPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704208803
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558407189
GROUP NPI
MI
05
—
4663905
—
MI
01
—
5008704110
BCBS PIN
MI
Enumeration date
07/19/2006
Last updated
10/06/2009
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