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1487668513
RICHARD L KENNEDY
WEST COVINA, CA
NPI
1487668513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: CA G62033)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
-- RICHARD L KENNEDY
1250 S SUNSET AVE # 100-B
WEST COVINA, CA 91790-3961
Phone number: 626-472-0132
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Mailing Address
-- RICHARD L KENNEDY
26816 VISTA TER
LAKE FOREST, CA 92630-8115
Phone number:
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