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1063901007
DANIEL MERRILL COONTZ
MEDFORD, OR
NPI
1063901007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OR 201803062NP-PP)
Enumeration Date
2018-05-04
Last Update Date
2018-05-04
Business Address
DANIEL MERRILL COONTZ NP
2780 E BARNETT RD
MEDFORD, OR 97504-8674
Phone number: 541-779-6250
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Mailing Address
DANIEL MERRILL COONTZ NP
2780 E BARNETT RD
MEDFORD, OR 97504-8674
Phone number: 541-779-6250
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