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Individual

MRS. ANNA JO KOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
803 TILGHMAN DR STE 100, DUNN, NC 28334-6699
(910) 892-1091
Mailing address
753 CLAYTON RD, ANGIER, NC 27501-8354
(919) 279-7065

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13082
NC

Other

Enumeration date
03/09/2023
Last updated
07/01/2025
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