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1396870556
KENNETH LILLARD
SAN BERNARDINO, CA
NPI
1396870556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-21
Last Update Date
2023-06-12
Business Address
KENNETH LILLARD
572 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401-1251
Phone number: 909-266-2700
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Mailing Address
KENNETH LILLARD
256 E 8TH ST
BEAUMONT, CA 92223-5904
Phone number: 909-266-2707
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