Individual
MARY ANN KOONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 N. WALNUT ST., VEEDERSBURG, IN 47987
(317) 548-2501
Mailing address
605 N WALNUT ST, VEEDERSBURG, IN 47987-1149
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28179661A
IN
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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