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1467974568
KENNETH BUENAVISTA
SACRAMENTO, CA
NPI
1467974568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN219863)
Enumeration Date
2017-07-10
Last Update Date
2017-07-10
Business Address
Mr. KENNETH BUENAVISTA Nurse
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number: 916-875-1000
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Mailing Address
Mr. KENNETH BUENAVISTA Nurse
3419 SAVANNAH LN APT 1922
WEST SACRAMENTO, CA 95691-5987
Phone number: 916-914-4707
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