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1447516505
DERRICK LEONDRAS KENNER
BAKERSFIELD, CA
NPI
1447516505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-04-03
Last Update Date
2012-04-03
Business Address
-- DERRICK LEONDRAS KENNER
2151 COLLEGE AVENUE
BAKERSFIELD, CA 93302
Phone number: 661-868-8080
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Mailing Address
-- DERRICK LEONDRAS KENNER
PO BOX 1000
BAKERSFIELD, CA 93302-1000
Phone number: 661-868-6601
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