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1427741941
TRAYVON I WILLIS KENNEDY
SACRAMENTO, CA
NPI
1427741941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-05-31
Last Update Date
2023-05-31
Business Address
TRAYVON I WILLIS KENNEDY
630 BERCUT DR STE C
SACRAMENTO, CA 95811-0110
Phone number: 916-441-3819
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Mailing Address
TRAYVON I WILLIS KENNEDY
3780 ROSIN CT STE 110
SACRAMENTO, CA 95834-1698
Phone number: 916-441-0226
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