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1386919900
KENNETH DANIEL MCMANUS
PORTSMOUTH, VA
NPI
1386919900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-03-14
Last Update Date
2012-03-14
Business Address
-- KENNETH DANIEL MCMANUS D.O.
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-0669
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Mailing Address
-- KENNETH DANIEL MCMANUS D.O.
98 OAK ST APT. 1412
LINDENWOLD, NJ 08021-2483
Phone number: 609-257-7778
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