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1134196751
KENNAN THOMAS RUNTE
GRASS VALLEY, CA
NPI
1134196751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: CA E37870)
Enumeration Date
2006-03-02
Last Update Date
2007-07-08
Business Address
-- KENNAN THOMAS RUNTE DPM
123 MARGARET LANE STE B-1
GRASS VALLEY, CA 95945
Phone number: 530-477-7200
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Mailing Address
-- KENNAN THOMAS RUNTE DPM
123 MARGARET LANE STE B-1
GRASS VALLEY, CA 95945
Phone number: 530-477-7200
Copy
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