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Individual

KAYLEE RAYE BUSKELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
309 E EXCHANGE ST, OWOSSO, MI 48867-3051
(810) 835-9559
Mailing address
309 E EXCHANGE ST, OWOSSO, MI 48867-3051
(810) 835-9559

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
MI
167G00000X
Licensed Psychiatric Technician
MI
183700000X
Pharmacy Technician
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MI

Other

Enumeration date
05/02/2023
Last updated
10/30/2024
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