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1194246041
KYLE GREEN
RANCHO SANTA MARGARITA, CA
NPI
1194246041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2017-06-30
Last Update Date
2022-11-10
Business Address
KYLE GREEN PA-C
22431 ANTONIO PKWY # B160-613
RANCHO SANTA MARGARITA, CA 92688-2804
Phone number: 855-727-2251
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Mailing Address
KYLE GREEN PA-C
22431 ANTONIO PKWY # B160-613
RANCHO SANTA MARGARITA, CA 92688-2804
Phone number: 855-727-2251
Copy
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