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1215329826
KYLE NISWONGER
HOLLAND, MI
NPI
1215329826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-02-19
Last Update Date
2017-05-25
Business Address
-- KYLE NISWONGER
141 E 12TH ST
HOLLAND, MI 49423-3607
Phone number: 248-804-7447
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Mailing Address
-- KYLE NISWONGER
2385 MILLBROOK CT
ROCHESTER HILLS, MI 48306-3144
Phone number: 248-804-7447
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