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1124674304
BALAKISA KENNEH
SAN ANTONIO, TX
NPI
1124674304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 347440)
Enumeration Date
2019-08-14
Last Update Date
2019-08-14
Business Address
BALAKISA KENNEH
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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Mailing Address
BALAKISA KENNEH
7710 W INTERSTATE 10
SAN ANTONIO, TX 78230-4711
Phone number: 210-377-3355
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