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1861125791
BREANNA KOOIENGA
DETROIT, MI
NPI
1861125791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-07-07
Last Update Date
2024-05-02
Business Address
BREANNA KOOIENGA
3031 W GRAND BLVD STE 600
DETROIT, MI 48202-3014
Phone number: 734-787-0324
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Mailing Address
BREANNA KOOIENGA
3031 W GRAND BLVD STE 600
DETROIT, MI 48202-3014
Phone number:
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