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Individual

KYLIE PARKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1320 GLEN JEAN CT, DAYTON, OH 45459-3201
(937) 673-5282
Mailing address
1820 WALNUT ST, PARK RIDGE, IL 60068-1754
(847) 977-8582

Taxonomy

Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary

Other

Enumeration date
04/13/2022
Last updated
04/13/2022
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