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1104891472
KENNETH L BOSS
VILLA RICA, GA
NPI
1104891472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 052425)
Enumeration Date
2006-02-21
Last Update Date
2014-10-20
Business Address
Dr. KENNETH L BOSS MD
705 DALLAS HWY SUITE 101
VILLA RICA, GA 30180-1247
Phone number: 770-456-4411
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Mailing Address
Dr. KENNETH L BOSS MD
119 AMBULANCE DR SUITE 202
CARROLLTON, GA 30117-3857
Phone number: 770-838-8710
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