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1417088469
KENNY B TRINIDAD
PASADENA, CA
NPI
1417088469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA17997)
Enumeration Date
2007-03-08
Last Update Date
2008-04-10
Business Address
-- KENNY B TRINIDAD PAC
1845 N FAIR OAKS AVE
PASADENA, CA 91103-1620
Phone number: 626-744-6049
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Mailing Address
-- KENNY B TRINIDAD PAC
11500 ODESSA AVENUE
GRANADA HILLS, CA 91344
Phone number:
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