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Individual

EMILY NICOLE KOOPMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6905 HARRIS AVE, KAILUA, HI 96744
(315) 496-3966
Mailing address
399 POWDER CREEK WAY, DALLAS, GA 30157
(678) 314-6207

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/02/2018
Last updated
07/24/2025
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