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1104367952
KENNETH DAVIS
OAKLAND, CA
NPI
1104367952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-03-13
Last Update Date
2024-09-25
Business Address
KENNETH DAVIS
1130 3RD AVE APT 808
OAKLAND, CA 94606-2258
Phone number: 510-860-5112
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Mailing Address
KENNETH DAVIS
390 40TH ST
OAKLAND, CA 94609-2633
Phone number: 510-613-0330
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