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Individual

MR. KYLE SHO KINOSHITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
95-732 MAIAKU ST, MILILANI, HI 96789-2816
(808) 321-8105
Mailing address
45-548 MAHINUI RD, KANEOHE, HI 96744-1741
(808) 236-9910

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/03/2018
Last updated
07/03/2018
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