DIANNA KISNER

GRAND RAPIDS, MI
NPI1538401690
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  L1890453)
Enumeration Date2013-03-26
Last Update Date2013-03-26
Business Address
-- DIANNA KISNER AT
160 68TH ST SW
GRAND RAPIDS, MI 49548-7114
Phone number: 616-455-3210
Mailing Address
-- DIANNA KISNER AT
4623 POINSETTIA AVE SE
KENTWOOD, MI 49508-4505
Phone number: 616-893-6918
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