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Individual

KYLE HARRISON DAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3727 WILDER RD, BAY CITY, MI 48706-2367
(989) 860-5176
Mailing address
7110 MICHIGAN RD, BAY CITY, MI 48706-9310

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary
MI

Other

Enumeration date
03/31/2021
Last updated
03/31/2021
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