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1003641119
KEVIN DEVILLE CLEMMONS
SACRAMENTO, CA
NPI
1003641119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-09-06
Last Update Date
2024-09-06
Business Address
KEVIN DEVILLE CLEMMONS
NEW DIRECTION-650 HOWE AVE BLDG. 400-B
SACRAMENTO, CA 95825
Phone number: 916-441-0123
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Mailing Address
KEVIN DEVILLE CLEMMONS
NEW DIRECTION- 650 HOWE AVE. BLDG. 400-B
SACRAMENTO, CA 95825
Phone number:
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