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1538762596
ERMA R KOONTZ
PETERSBURG, WV
NPI
1538762596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-11-20
Last Update Date
2020-11-20
Business Address
ERMA R KOONTZ
111 VIRGINIA AVE
PETERSBURG, WV 26847-1713
Phone number: 304-257-1666
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Mailing Address
ERMA R KOONTZ
111 VIRGINIA AVE
PETERSBURG, WV 26847-1713
Phone number: 304-257-1666
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