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1265871982
EDWARD DUVAL KOONCE
CAMP LEJEUNE, NC
NPI
1265871982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 9674)
Enumeration Date
2013-06-15
Last Update Date
2014-09-29
Business Address
Dr. EDWARD DUVAL KOONCE DPT
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-4750
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Mailing Address
Dr. EDWARD DUVAL KOONCE DPT
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-4750
Copy
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