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1336584903
NICOLE KOONTZ
LOS ANGELES, CA
NPI
1336584903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2013-05-08
Last Update Date
2013-05-08
Business Address
NICOLE KOONTZ
830 S OLIVE ST
LOS ANGELES, CA 90014-3006
Phone number: 213-213-0581
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Mailing Address
NICOLE KOONTZ
830 S OLIVE ST
LOS ANGELES, CA 90014-3006
Phone number: 213-213-0581
Copy
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