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1023509643
SCOTT WESLEY KENNIFER
SANTA ANA, CA
NPI
1023509643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
SCOTT WESLEY KENNIFER
1300 S GRAND AVE STE 213
SANTA ANA, CA 92705-4434
Phone number: 714-567-7645
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Mailing Address
SCOTT WESLEY KENNIFER
PO BOX 11526
SANTA ANA, CA 92711-1526
Phone number: 714-567-7645
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