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1376977470
KYLE DAVID BOSSHART
LOS ANGELES, CA
NPI
1376977470
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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
2013-08-26
Last Update Date
2014-10-30
Business Address
-- KYLE DAVID BOSSHART
1605 EASTLAKE AVE
LOS ANGELES, CA 90033-1009
Phone number: 323-226-2327
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Mailing Address
-- KYLE DAVID BOSSHART
1605 EASTLAKE AVE
LOS ANGELES, CA 90033-1009
Phone number: 323-226-2327
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