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1902058308
TIMOTHY ADAM KOEHLER
RALEIGH, NC
NPI
1902058308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 001001539)
Enumeration Date
2008-10-16
Last Update Date
2008-10-16
Business Address
Mr. TIMOTHY ADAM KOEHLER PA-C
4450 FAYETTEVILLE RD
RALEIGH, NC 27603-3612
Phone number: 919-772-3154
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Mailing Address
Mr. TIMOTHY ADAM KOEHLER PA-C
100 S 10TH ST
LILLINGTON, NC 27546-6690
Phone number: 910-893-4111
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