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1366789646
KYLE THOMAS ANDERSON
SANTA CRUZ, CA
NPI
1366789646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA pt 35914)
Enumeration Date
2013-01-07
Last Update Date
2013-01-07
Business Address
-- KYLE THOMAS ANDERSON L.P,T
2115 7TH AVE
SANTA CRUZ, CA 95062-1663
Phone number: 831-420-0120
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Mailing Address
-- KYLE THOMAS ANDERSON L.P,T
2115 7TH AVE
SANTA CRUZ, CA 95062-1663
Phone number: 831-420-0120
Copy
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