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1326632977
KENNETH CHARLES PEREZ
PHOENIX, AZ
NPI
1326632977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2021-02-24
Last Update Date
2021-02-24
Business Address
KENNETH CHARLES PEREZ
1607 E HARWELL RD
PHOENIX, AZ 85042-6881
Phone number: 623-332-8632
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Mailing Address
KENNETH CHARLES PEREZ
1607 E HARWELL RD
PHOENIX, AZ 85042-6881
Phone number: 623-332-8632
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