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Individual

MR. KYLE PATRICK MCNAMARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
34101 FARENHOLT AVENUE, BUILDING 14, SAN DIEGO, CA 92134-5291
(619) 532-9712
Mailing address
PSC 451 BOX 340, FPO, AE 09834-0000
(435) 496-3099

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary

Other

Enumeration date
04/13/2012
Last updated
04/13/2012
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