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1073199048
KYLE SHORT
BOYNTON BEACH, FL
NPI
1073199048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH17305)
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
Mr. KYLE SHORT
2500 QUANTUM LAKES DR STE 105
BOYNTON BEACH, FL 33426-8308
Phone number: 561-770-1780
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Mailing Address
Mr. KYLE SHORT
2500 QUANTUM LAKES DR STE 105
BOYNTON BEACH, FL 33426-8308
Phone number: 561-770-1780
Copy
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