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1013513563
KENON J JOSEPH
LOS ANGELES, CA
NPI
1013513563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
KENON J JOSEPH
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number: 213-435-4602
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Mailing Address
KENON J JOSEPH
5715 S BROADWAY
LOS ANGELES, CA 90037-4131
Phone number:
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