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Individual
DR. KYLE L PRUSSO
Active
Individual
DR. KYLE L PRUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
15362
CA
111N00000X
Chiropractor
DC29328
CA
Other
Enumeration date
07/09/2006
Last updated
10/27/2021
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