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1417572561
KENNETH W VERNON
METAIRIE, LA
NPI
1417572561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-06-15
Last Update Date
2020-06-15
Business Address
Mr. KENNETH W VERNON
3105 EDENBORN AVE APT 803
METAIRIE, LA 70002-4709
Phone number: 504-564-2562
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Mailing Address
Mr. KENNETH W VERNON
3105 EDENBORN AVE APT 803
METAIRIE, LA 70002-4709
Phone number: 504-564-2562
Copy
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