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1053754622
HESSEL KOOISTRA
FAYETTEVILLE, AR
NPI
1053754622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: AR E-2570)
Enumeration Date
2013-04-12
Last Update Date
2013-04-12
Business Address
Dr. HESSEL KOOISTRA M.D.
10971 ROCKY CREEK RD
FAYETTEVILLE, AR 72701-0614
Phone number: 479-841-2736
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Mailing Address
Dr. HESSEL KOOISTRA M.D.
10975 ROCKY CREEK RD
FAYETTEVILLE, AR 72701-0614
Phone number: 479-841-2736
Copy
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