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1134146178
PETRA BOONSTRA
YPSILANTI, MI
NPI
1134146178
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Former Name
PETRA SCHWELLNUS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: MI 1601000029)
Enumeration Date
2006-07-16
Last Update Date
2014-04-24
Business Address
Mrs. PETRA BOONSTRA
5333 MCAULEY DRIVE SUITE 2016
YPSILANTI, MI 48197
Phone number: 734-434-3200
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Mailing Address
Mrs. PETRA BOONSTRA
5333 MCAULEY DRIVE SUITE 2016
YPSILANTI, MI 48197
Phone number: 734-434-3200
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