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1033474614
ALEXANDRIA R KOONTZ
CORVALLIS, OR
NPI
1033474614
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2012-07-10
Last Update Date
2012-07-10
Business Address
-- ALEXANDRIA R KOONTZ
4455 NE HWY 20, CORVALLIS
CORVALLIS, OR 97330-3371
Phone number: 503-234-9591
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Mailing Address
-- ALEXANDRIA R KOONTZ
3415 SE POWELL BLVD # 97202
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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