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1245438969
TIMOTHY HOWARD KOONTZ
WICHITA, KS
NPI
1245438969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: KS 17-02409)
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
-- TIMOTHY HOWARD KOONTZ OTR-L
8700 E 29TH ST N
WICHITA, KS 67226-2169
Phone number: 316-634-8753
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Mailing Address
-- TIMOTHY HOWARD KOONTZ OTR-L
1528 E 39TH ST N
WICHITA, KS 67219-3302
Phone number: 316-838-0991
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