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Individual

KYLE M NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
3721 W TURTLE HILL DR, ANTHEM, AZ 85086-3740
(623) 256-7625
Mailing address
3721 W TURTLE HILL DR, ANTHEM, AZ 85086-3740
(623) 256-7625

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/02/2022
Last updated
06/02/2022
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