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1750490629
LORALEE KOONTZ
TAMPA, FL
NPI
1750490629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9101349)
Enumeration Date
2006-08-30
Last Update Date
2012-07-11
Business Address
Mrs. LORALEE KOONTZ PA
2605 W. SWANN AVE SUITE 300
TAMPA, FL 33609-4039
Phone number: 813-872-9551
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Mailing Address
Mrs. LORALEE KOONTZ PA
2605 W. SWANN AVE SUITE 300
TAMPA, FL 33609-4039
Phone number: 813-872-9551
Copy
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