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Individual

KYLE HUNTER SPONSELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3021 FRANKLIN AVE, RIVERSIDE, CA 92507-3337
(951) 358-7824
Mailing address
3021 FRANKLIN AVE, RIVERSIDE, CA 92507-3337

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95416428
CA

Other

Enumeration date
08/07/2025
Last updated
08/07/2025
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