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1740653294
SAMANTHA D KOONTZ
FREDERICK, MD
NPI
1740653294
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Former Name
SAMANTHA D SHELTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0005971)
Enumeration Date
2015-11-05
Last Update Date
2016-09-15
Business Address
-- SAMANTHA D KOONTZ PA-C
56 THOMAS JOHNSON DR
FREDERICK, MD 21702-4599
Phone number: 301-694-3111
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Mailing Address
-- SAMANTHA D KOONTZ PA-C
610 SOLAREX CT
FREDERICK, MD 21703-8624
Phone number:
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