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1134626369
KYLE KONDRAT
DETROIT, MI
NPI
1134626369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-04-13
Last Update Date
2021-01-28
Business Address
KYLE KONDRAT
4201 SAINT ANTOINE ST
DETROIT, MI 48201-2153
Phone number: 313-577-4342
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Mailing Address
KYLE KONDRAT
4201 SAINT ANTOINE ST
DETROIT, MI 48201-2153
Phone number: 313-745-4627
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