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1245225317
KENNETH ALBERT TERHAAR
JACKSONVILLE, FL
NPI
1245225317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: VA 0101233211)
Enumeration Date
2005-09-15
Last Update Date
2019-02-27
Business Address
KENNETH ALBERT TERHAAR M.D.
3599 UNIVERSITY BLVD S BLDG 300
JACKSONVILLE, FL 32216
Phone number: 904-399-5550
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Mailing Address
KENNETH ALBERT TERHAAR M.D.
2080 CHILD ST
JACKSONVILLE, FL 32214
Phone number: 904-542-7363
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