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Carol Kooyman

NPI 1114317195 · on the registry since 2015 · sole proprietor

Practice

Address
831 So. Lee Ave.
Lodi, CA 95240
Phone
(209) 747-4304

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-01-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California