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1053946228
KYLE RICHARD HISCOCK
CHICO, CA
NPI
1053946228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-03-09
Last Update Date
2020-03-09
Business Address
KYLE RICHARD HISCOCK
590 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-345-3491
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Mailing Address
KYLE RICHARD HISCOCK
590 RIO LINDO AVE
CHICO, CA 95926-1817
Phone number: 530-345-3491
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