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1609035807
STEPHANIE LYNN KOONCE
IDAHO FALLS, ID
NPI
1609035807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WY 391)
Enumeration Date
2008-06-03
Last Update Date
2023-03-21
Business Address
STEPHANIE LYNN KOONCE PA-C
1957 E 17TH ST
IDAHO FALLS, ID 83404-6429
Phone number: 208-523-1100
Copy
Mailing Address
STEPHANIE LYNN KOONCE PA-C
1957 E 17TH ST
IDAHO FALLS, ID 83404-6429
Phone number: 208-523-1100
Copy
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