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1902491327
ANDREA NICHOLE KOONTZ
CHARLESTON, WV
NPI
1902491327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-03-08
Last Update Date
2021-03-08
Business Address
ANDREA NICHOLE KOONTZ
1510 KANAWHA BLVD E
CHARLESTON, WV 25311-2413
Phone number: 304-951-2703
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Mailing Address
ANDREA NICHOLE KOONTZ
1510 KANAWHA BLVD E
CHARLESTON, WV 25311-2413
Phone number: 304-951-2703
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