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1245279827
KENNETH KACENGA
SIERRA VISTA, AZ
NPI
1245279827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: AZ 01607)
Enumeration Date
2006-06-06
Last Update Date
2008-01-03
Business Address
-- KENNETH KACENGA DO
155 COLLE PORTAL 300
SIERRA VISTA, AZ 85635
Phone number: 520-458-8075
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Mailing Address
-- KENNETH KACENGA DO
155 COLLE PORTAL 300
SIERRA VISTA, AZ 85635
Phone number: 520-458-8075
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