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1356690440
KAYLIE BRUINSMA
SOUTH BEND, IN
NPI
1356690440
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Former Name
KAYLIE HUNTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
-- KAYLIE BRUINSMA MSW
415 E. MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1234
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Mailing Address
-- KAYLIE BRUINSMA MSW
PO BOX 809
GOSHEN, IN 46527-0809
Phone number: 574-533-1234
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