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1770811895
THERESA KOONTZ
IRVINE, CA
NPI
1770811895
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 247526)
Enumeration Date
2009-12-01
Last Update Date
2009-12-01
Business Address
THERESA KOONTZ R.N.
2646 DUPONT DR STE 250
IRVINE, CA 92612-7677
Phone number: 949-261-2981
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Mailing Address
THERESA KOONTZ R.N.
2015 SEADRIFT DR
CORONA DEL MAR, CA 92625-1950
Phone number: 949-721-1657
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