KENNETH PERRY VANTASSEL

CAMP LEJEUNE, NC
NPI1225581481
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-07-24
Last Update Date2026-05-19
Business Address
-- KENNETH PERRY VANTASSEL
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 910-450-4357
Mailing Address
-- KENNETH PERRY VANTASSEL
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2575
Phone number: 910-450-4357
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