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1366143315
PAYTON JON KOOIKER
GRAND RAPIDS, MI
NPI
1366143315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-16
Last Update Date
2024-04-02
Business Address
PAYTON JON KOOIKER DO
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-6243
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Mailing Address
PAYTON JON KOOIKER DO
400 LEE ST N
LEWISBURG, WV 24901-1274
Phone number:
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