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Individual

MISS KYLEE SUZANNE WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IDMT

Contact information

Practice address
10215 TIGER BAY, SAN ANTONIO, TX 78251-4257
(210) 482-0955
Mailing address
10215 TIGER BAY, SAN ANTONIO, TX 78251-4257
(210) 482-0955

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
04/10/2012
Last updated
04/10/2012
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