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Individual

KYANA MAE SMOLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
528 W CHICAGO ST APT 13, COLDWATER, MI 49036-8416
(517) 279-8423
Mailing address
253 W COLON RD, COLDWATER, MI 49036-9245
(517) 317-1517

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
05/29/2019
Last updated
05/29/2019
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