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1144712902
KENNETH DAVID TERRY
BARSTOW, CA
NPI
1144712902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A16604)
Enumeration Date
2018-06-06
Last Update Date
2021-12-27
Business Address
Dr. KENNETH DAVID TERRY DO
500 S 7TH AVE STE B&C
BARSTOW, CA 92311-3056
Phone number: 760-256-1777
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Mailing Address
Dr. KENNETH DAVID TERRY DO
801 E MOUNTAIN VIEW ST STE F
BARSTOW, CA 92311-3052
Phone number: 760-256-1777
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