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Individual
KYLE RICHARD SUTTON
Active
Individual
KYLE RICHARD SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, AT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003083
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
OH
Enumeration date
07/02/2013
Last updated
07/02/2013
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