Individual
MS. ANGELA EMMA KOPRIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 E UNIVERSITY AVE, LARAMIE, WY 82071-2000
(307) 766-2712
Mailing address
41577 169TH ST, RAYMOND, SD 57258-6624
(605) 468-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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