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Individual
MADELYN JO KOONTZ
Active
Individual
MADELYN JO KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
24
OR
Other
Enumeration date
05/17/2006
Last updated
07/13/2026
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