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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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