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1730882432
GRACE ELIZABETH KOONTZ
WINSTON SALEM, NC
NPI
1730882432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
GRACE ELIZABETH KOONTZ
1 MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2694
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Mailing Address
GRACE ELIZABETH KOONTZ
4176 GREENMEAD RD
WINSTON SALEM, NC 27106-2916
Phone number: 704-699-1927
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