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1477504249
JACK D KENNIS
DOWNEY, CA
NPI
1477504249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA G46843)
Enumeration Date
2006-05-15
Last Update Date
2008-03-31
Business Address
-- JACK D KENNIS MD
11500 BROOKSHIRE AVE
DOWNEY, CA 90241
Phone number: 562-904-5000
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Mailing Address
-- JACK D KENNIS MD
PO BOX 39159
DOWNEY, CA 90239
Phone number: 562-809-3576
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