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1154464717
LARY KENNETH MCPHAILL
SACRAMENTO, CA
NPI
1154464717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 5740T)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
-- LARY KENNETH MCPHAILL OD
2563 FAIR OAKS BLVD
SACRAMENTO, CA 95825-7683
Phone number: 916-480-9985
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Mailing Address
-- LARY KENNETH MCPHAILL OD
3457 TEA ROSE DR
EL DORADO HILLS, CA 95762-6558
Phone number: 530-672-2951
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