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Organization
SUN KYSS GLO
Active
Organization
SUN KYSS GLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARA VINCENT (OWNER)
(954) 873-4433
Entity
Organization
Contact information
Practice address
27 CHOCTAW TRCE, CHEROKEE VILLAGE, AR 72529-2702
(954) 873-4433
Mailing address
27 CHOCTAW TRCE, CHEROKEE VILLAGE, AR 72529-2702
(954) 873-4433
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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