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1083255814
KENNETH PORTER
OAKLAND, CA
NPI
1083255814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247000000X Technician, Health Information
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
KENNETH PORTER
1625 FILBERT ST
OAKLAND, CA 94607-2890
Phone number: 510-663-9092
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Mailing Address
KENNETH PORTER
1625 FILBERT ST
OAKLAND, CA 94607-2890
Phone number: 510-663-9092
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