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1265551683
MICHAEL J KOCH
CHAPEL HILL, NC
NPI
1265551683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-28
Last Update Date
2009-08-27
Business Address
Mr. MICHAEL J KOCH
104 NEW STATESIDE DR
CHAPEL HILL, NC 27516-1165
Phone number: 919-942-2803
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Mailing Address
Mr. MICHAEL J KOCH
116-118 NEW STATESIDE DRIVE
CHAPEL HILL, NC 27516-1165
Phone number: 919-942-2803
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