Individual
JACLYN JOSUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, ETS
Contact information
Practice address
610 S BURDICK ST, KALAMAZOO, MI 49007-5221
(269) 381-3700
Mailing address
610 S BURDICK ST, KALAMAZOO, MI 49007-5221
(269) 381-3700
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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