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1770175085
KATELYN KOOSTRA
CHARLOTTE, NC
NPI
1770175085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-08
Last Update Date
2021-02-08
Business Address
KATELYN KOOSTRA
3000 LATROBE DR STE B
CHARLOTTE, NC 28211-5227
Phone number: 704-780-4271
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Mailing Address
KATELYN KOOSTRA
14218 WALKERS CROSSING DR
CHARLOTTE, NC 28273-9125
Phone number: 803-295-1257
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