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1306573050
RUBY TAYLOR KOONTZ
VALPARAISO, IN
NPI
1306573050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
RUBY TAYLOR KOONTZ
2005 VALPARAISO ST STE 209
VALPARAISO, IN 46383-3331
Phone number: 219-252-5464
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Mailing Address
RUBY TAYLOR KOONTZ
1625 ORIOLE DR
MUNSTER, IN 46321-3336
Phone number: 219-242-0210
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