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1750366886
ELIZABETH KOONTZ HOLLAND
WINSTON SALEM, NC
NPI
1750366886
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Other Name
MARY KOONTZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 000101509)
Enumeration Date
2005-12-13
Last Update Date
2012-06-13
Business Address
-- ELIZABETH KOONTZ HOLLAND PAC
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
-- ELIZABETH KOONTZ HOLLAND PAC
PO BOX 602658
CHARLOTTE, NC 28260-2658
Phone number: 336-716-2255
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