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1376637181
KENNETH JAMES RICHARDS
NORFOLK, VA
NPI
1376637181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-10-03
Last Update Date
2017-02-05
Business Address
Mr. KENNETH JAMES RICHARDS IDC
5265 RIVERWOOD RD
NORFOLK, VA 23502-4928
Phone number: 757-576-4161
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Mailing Address
Mr. KENNETH JAMES RICHARDS IDC
PO BOX 41132
NORFOLK, VA 23541-1132
Phone number: 757-576-4161
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