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Individual
TAMARA HILL KOONTZ
Active
Individual
TAMARA HILL KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07483
NC
Other
Enumeration date
07/26/2017
Last updated
07/15/2024
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