PHOENIX KHALID MAIKOSKI

KALAMAZOO, MI
NPI1316706674
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-03-18
Last Update Date2024-03-18
Business Address
PHOENIX KHALID MAIKOSKI
1500 LAMONT AVE
KALAMAZOO, MI 49048-4156
Phone number: 269-385-6128
Mailing Address
PHOENIX KHALID MAIKOSKI
4288 ESCAPE DR APT 102C
KALAMAZOO, MI 49006-6761
Phone number: 269-615-0494
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