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1134207970
KENNY J. OMLIN
VACAVILLE, CA
NPI
1134207970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CA A74634)
Enumeration Date
2006-11-01
Last Update Date
2021-12-29
Business Address
KENNY J. OMLIN MD
1 QUALITY DR
VACAVILLE, CA 95688-9494
Phone number: 707-453-5000
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Mailing Address
KENNY J. OMLIN MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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