MADELYN JO KOONTZ

SALEM, OR
NPI1265484364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  24)
Enumeration Date2006-05-17
Last Update Date2007-07-08
Business Address
MADELYN JO KOONTZ RD, LD
3878 BEVERLY AVE NE
SALEM, OR 97305-1349
Phone number: 503-363-6065
Mailing Address
MADELYN JO KOONTZ RD, LD
3030 LAWNRIDGE ST SW
ALBANY, OR 97321-3444
Phone number: 541-926-9216
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