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Individual

DR. BRONSTON KOPALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
655 CAMINO DE LOS MARES STE 120A, SAN CLEMENTE, CA 92673-2809
(780) 949-4148
Mailing address
655 CAMINO DE LOS MARES STE 120A, SAN CLEMENTE, CA 92673-2809
(780) 949-4148

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
35062
CA

Other

Enumeration date
06/04/2021
Last updated
06/04/2021
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