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1710599022
MARY KOCZYK
COEUR D ALENE, ID
NPI
1710599022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-08-18
Last Update Date
2020-10-05
Business Address
MARY KOCZYK CBRS
2201 N IRONWOOD PL
COEUR D ALENE, ID 83814-2670
Phone number: 208-769-4222
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Mailing Address
MARY KOCZYK CBRS
PO BOX 1387
HAYDEN, ID 83835-1387
Phone number: 208-415-0299
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