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1073283693
KENNETH MICHAEL WETHERHOLT
SAN ANTONIO, TX
NPI
1073283693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: 194476)
Enumeration Date
2021-09-15
Last Update Date
2021-09-15
Business Address
KENNETH MICHAEL WETHERHOLT CSFA
8626 TESORO DR STE 502
SAN ANTONIO, TX 78217-6217
Phone number: 210-496-2222
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Mailing Address
KENNETH MICHAEL WETHERHOLT CSFA
8626 TESORO DR STE 502
SAN ANTONIO, TX 78217-6217
Phone number: 210-496-2222
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