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1285004663
KENNETH VOLLINTINE
PANAMA, IL
NPI
1285004663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-09-29
Last Update Date
2022-07-21
Business Address
-- KENNETH VOLLINTINE
315 HILTON AVENUE BOX52
PANAMA, IL 62077
Phone number: 217-414-9126
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Mailing Address
-- KENNETH VOLLINTINE
315 HILTON AVENUE BOX52
PANAMA, IL 62077
Phone number: 217-414-9126
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