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1679330484
DAVID KOONCE
BEND, OR
NPI
1679330484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: GA 010380)
Enumeration Date
2024-02-28
Last Update Date
2024-02-28
Business Address
DAVID KOONCE LMT
424 NE FRANKLIN AVE
BEND, OR 97701-4919
Phone number: 541-388-3588
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Mailing Address
DAVID KOONCE LMT
1539 SW 21ST PL
REDMOND, OR 97756-9498
Phone number:
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