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1053993246
KYLE MACKENZIE CAMPBELL
DALLAS, TX
NPI
1053993246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10075487)
Enumeration Date
2021-04-27
Last Update Date
2021-04-27
Business Address
KYLE MACKENZIE CAMPBELL DO
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-2361
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Mailing Address
KYLE MACKENZIE CAMPBELL DO
4040 KOEHLER ST APT 2015
HOUSTON, TX 77007-3671
Phone number: 210-363-2002
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