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1184805731
MARVIN CLAY KOONCE
SHELBYVILLE, TN
NPI
1184805731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TN 2322)
Enumeration Date
2007-11-23
Last Update Date
2007-11-23
Business Address
Dr. MARVIN CLAY KOONCE DDS
603 N MAIN ST
SHELBYVILLE, TN 37160-3210
Phone number: 931-684-2445
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Mailing Address
Dr. MARVIN CLAY KOONCE DDS
P O BOX 741
SHELBYVILLE, TN 37162-0741
Phone number: 931-684-2445
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