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1366298721
KENNETH XAVIER ROMAN HERNANDEZ
DETROIT, MI
NPI
1366298721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-26
Last Update Date
2024-04-26
Business Address
KENNETH XAVIER ROMAN HERNANDEZ MD
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-745-7233
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Mailing Address
KENNETH XAVIER ROMAN HERNANDEZ MD
URB REGIONAL B9 CALLE 1
ARECIBO, PR 00612-3429
Phone number: 787-362-0521
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