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1477692143
KENNETH A. DAVIS
HONOLULU, HI
NPI
1477692143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2007-02-06
Last Update Date
2012-11-02
Business Address
-- KENNETH A. DAVIS
400 SAND ISLAND PKWY CGC KUKUI (WLB-203)
HONOLULU, HI 96819-4326
Phone number: 808-842-2860
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Mailing Address
-- KENNETH A. DAVIS
4200 OCEAN ST USCG SECTOR JACKSONVILLE
ATLANTIC BEACH, FL 32233
Phone number: 904-564-7581
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