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Individual

SERGIEO MARCOS KYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6501 DUCK HILL SPRINGS DR APT 6501, LAS VEGAS, NV 89122-3509
(725) 212-6896
Mailing address
6501 DUCK HILL SPRINGS DR APT 6501, LAS VEGAS, NV 89122-3509
(725) 212-6896

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/13/2019
Last updated
03/13/2019
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