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1902804347
JASON EVERETT KOOCH
BETHLEHEM, PA
NPI
1902804347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: PA OS013001)
Enumeration Date
2005-07-11
Last Update Date
2008-05-29
Business Address
Dr. JASON EVERETT KOOCH D.O.
2775 SCHOENERSVILLE RD
BETHLEHEM, PA 18017-7307
Phone number: 610-861-8080
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Mailing Address
Dr. JASON EVERETT KOOCH D.O.
2775 SCHOENERSVILLE RD
BETHLEHEM, PA 18017-7307
Phone number: 610-861-8080
Copy
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