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1821712043
ALAYNA KOOISTRA
STANTON, MI
NPI
1821712043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-09-30
Last Update Date
2024-05-17
Business Address
ALAYNA KOOISTRA
611 N STATE ST
STANTON, MI 48888-9702
Phone number: 248-860-3490
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Mailing Address
ALAYNA KOOISTRA
611 N STATE ST
STANTON, MI 48888-9702
Phone number: 989-831-7520
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