KYLE ADDISON

SAN JOSE, CA
NPI1700101540
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy322D00000X Residential Treatment Facility, Emotionally Disturbed Children
(Licence: CA  3649)
Enumeration Date2010-04-05
Last Update Date2010-04-05
Business Address
-- KYLE ADDISON
6630 MARYMONTE CT
SAN JOSE, CA 95120-4517
Phone number: 408-205-8996
Mailing Address
-- KYLE ADDISON
1058 S 5TH ST APT. #201
SAN JOSE, CA 95112-6702
Phone number: 510-673-2285
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