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1083753248
WAYNE S KENNING
NAMPA, ID
NPI
1083753248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: ID 971057)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
-- WAYNE S KENNING OTS
215 E HAWAII AVENUE
NAMPA, ID 83686
Phone number: 208-463-3000
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Mailing Address
-- WAYNE S KENNING OTS
217 W GEORGIA SUITE 115
NAMPA, ID 83686
Phone number: 208-463-3000
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