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1487026977
KEVIN RYAN CARPENTER
SACRAMENTO, CA
NPI
1487026977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA A160146)
Enumeration Date
2015-10-23
Last Update Date
2020-02-24
Business Address
KEVIN RYAN CARPENTER
4610 X ST
SACRAMENTO, CA 95817-2200
Phone number: 925-525-4545
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Mailing Address
KEVIN RYAN CARPENTER
5024 V ST
SACRAMENTO, CA 95817-1511
Phone number: 925-525-4545
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