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1083112304
STACIE KOONTZ
WHEELING, WV
NPI
1083112304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV APRN68719)
Enumeration Date
2018-02-01
Last Update Date
2022-09-19
Business Address
STACIE KOONTZ FNP-BC
2101 JACOB ST STE 502
WHEELING, WV 26003-3800
Phone number: 304-234-8476
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Mailing Address
STACIE KOONTZ FNP-BC
4551 FAIRMONT PIKE RD
WHEELING, WV 26003-7615
Phone number: 304-233-2625
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