KEVIN DONALD KOOISTRA

CLIFTON, NJ
NPI1326113994
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist Optician
(Licence: NJ  31TD00190700)
Enumeration Date2006-11-21
Last Update Date2011-10-26
Business Address
MR. KEVIN DONALD KOOISTRA OPTICIAN
1033 CLIFTON AVE SUITE 107
CLIFTON, NJ 07013-3517
Phone number: 973-471-1225
Mailing Address
MR. KEVIN DONALD KOOISTRA OPTICIAN
1033 CLIFTON AVE SUITE 107
CLIFTON, NJ 07013-3517
Phone number: 973-471-1225
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