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1447084389
KENNETH COMMERFORD
SANTA ROSA, CA
NPI
1447084389
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-08-30
Last Update Date
2024-08-30
Business Address
KENNETH COMMERFORD
1120 GORDON LN
SANTA ROSA, CA 95404-5636
Phone number: 707-527-3249
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Mailing Address
KENNETH COMMERFORD
1120 GORDON LN
SANTA ROSA, CA 95404-5636
Phone number:
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