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1477146413
KAILEY KOONTZ
LONGWOOD, FL
NPI
1477146413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9113974)
Enumeration Date
2021-02-19
Last Update Date
2021-02-19
Business Address
KAILEY KOONTZ PA-C
2180 W STATE ROAD 434 STE 1124
LONGWOOD, FL 32779-5008
Phone number: 321-972-1741
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Mailing Address
KAILEY KOONTZ PA-C
2601 S RIDGEWOOD AVE
SOUTH DAYTONA, FL 32119-3537
Phone number: 386-214-5197
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