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1437172533
KENNETH L. ANDERSON
SAN DIEGO, CA
NPI
1437172533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: CA 20A5441)
Enumeration Date
2006-07-26
Last Update Date
2011-11-03
Business Address
-- KENNETH L. ANDERSON D.O.
1945 GARNET AVE
SAN DIEGO, CA 92109-3595
Phone number: 858-224-7977
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Mailing Address
-- KENNETH L. ANDERSON D.O.
1945 GARNET AVENUE
SAN DIEGO, CA 92109-4292
Phone number: 858-224-7977
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