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1780440065
KYLE TRETTER
GARDENA, CA
NPI
1780440065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95028054)
Enumeration Date
2024-02-26
Last Update Date
2024-02-26
Business Address
KYLE TRETTER PMHNP
1225 W 190TH ST STE 280
GARDENA, CA 90248-4305
Phone number: 877-538-2102
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Mailing Address
KYLE TRETTER PMHNP
PO BOX 23
HAUBSTADT, IN 47639-0023
Phone number: 812-774-0349
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