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1215485347
JOHNATHAN BOONSTRA
TRAVERSE CITY, MI
NPI
1215485347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-09-19
Last Update Date
2016-09-19
Business Address
-- JOHNATHAN BOONSTRA
105 HALL ST
TRAVERSE CITY, MI 49684-2288
Phone number: 231-922-4850
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Mailing Address
-- JOHNATHAN BOONSTRA
105 HALL ST
TRAVERSE CITY, MI 49684-2288
Phone number:
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