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1740280916
JOHN P KOOTZ
GARDINER, ME
NPI
1740280916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ME 012564)
Enumeration Date
2005-07-28
Last Update Date
2012-10-16
Business Address
-- JOHN P KOOTZ M.D
152 DRESDEN AVE
GARDINER, ME 04345-2615
Phone number: 207-582-6608
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Mailing Address
-- JOHN P KOOTZ M.D
152 DRESDEN AVE
GARDINER, ME 04345-2615
Phone number: 207-582-6608
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