JACOB AVERY KOONTZ

KERMAN, CA
NPI1831503002
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  69055)
Enumeration Date2014-06-16
Last Update Date2014-06-16
Business Address
-- JACOB AVERY KOONTZ
456 S MADERA AVE
KERMAN, CA 93630-1538
Phone number: 559-846-7115
Mailing Address
-- JACOB AVERY KOONTZ
8151 N CEDAR AVE APT 108
FRESNO, CA 93720-2285
Phone number: 412-651-8336
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