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Individual

MR. JASON PAUL KOPEC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S., ATC

Contact information

Practice address
101 APPLIED BANK BLVD, SUITE #8-11, GLEN MILLS, PA 19342-3501
(484) 800-8740
Mailing address
4 SPICEBUSH CT, SICKLERVILLE, NJ 08081-1647
(856) 904-6988

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003992
PA

Other

Enumeration date
03/08/2016
Last updated
03/08/2016
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