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1033893029
SEAN JAMES KENNEDY
TERRE HAUTE, IN
NPI
1033893029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IN 11022675A)
Enumeration Date
2023-06-12
Last Update Date
2023-06-12
Business Address
SEAN JAMES KENNEDY DO
1530 N 7TH ST STE 200
TERRE HAUTE, IN 47807-1061
Phone number: 812-238-7631
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Mailing Address
SEAN JAMES KENNEDY DO
1606 N 7TH ST
TERRE HAUTE, IN 47804-2780
Phone number:
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