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Individual

KEVIN M PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
23101 LAKE CENTER DR, LAKE FOREST, CA 92630-2801
(949) 463-2562
Mailing address
23101 LAKE CENTER DR, LAKE FOREST, CA 92630-2801
(949) 463-2562

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
374U00000X
Home Health Aide

Other

Enumeration date
06/03/2016
Last updated
06/03/2016
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