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1417531104
KEVIN HENSON
SACRAMENTO, CA
NPI
1417531104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 95017287)
Enumeration Date
2021-05-08
Last Update Date
2021-05-08
Business Address
KEVIN HENSON CPNP-PC
3814 AUBURN BLVD STE 72
SACRAMENTO, CA 95821-2123
Phone number: 916-426-1902
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Mailing Address
KEVIN HENSON CPNP-PC
2615 27TH ST
SACRAMENTO, CA 95818-2616
Phone number: 610-733-1211
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