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Individual

KYLE J HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1110 HAMMOND RD E, 5, TRAVERSE CITY, MI 49686-9362
(231) 995-5210
(231) 995-5213
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001563
MI

Other

Enumeration date
06/20/2016
Last updated
06/20/2016
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