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1245313816
KENNETH A ST. OURS
LANHAM, MD
NPI
1245313816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MD C0001047)
Enumeration Date
2006-10-24
Last Update Date
2007-10-22
Business Address
MR. KENNETH A ST. OURS P.A.
8118 GOOD LUCK RD
LANHAM, MD 20706-3595
Phone number: 301-498-5990
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Mailing Address
MR. KENNETH A ST. OURS P.A.
302 COLONIAL CT
TOWSON, MD 21204-4317
Phone number: 410-832-5469
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