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1003870171
KENNETH RUSSELL MANNING
FAYETTEVILLE, NC
NPI
1003870171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RX0202X Internal Medicine, Medical Oncology
(Licence: NC 32779)
Enumeration Date
2006-04-14
Last Update Date
2007-07-08
Business Address
-- KENNETH RUSSELL MANNING M.D.
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-609-6910
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Mailing Address
-- KENNETH RUSSELL MANNING M.D.
PO BOX 42935
FAYETTEVILLE, NC 28309-2935
Phone number: 910-609-6910
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