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1497837785
KENNETH VERESCHAGIN
SANTA CLARA, CA
NPI
1497837785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080S0010X Pediatrics Sports Medicine
(Licence: CA G61515)
Enumeration Date
2006-10-19
Last Update Date
2011-12-02
Business Address
KENNETH VERESCHAGIN MD
2652 EL CAMINO REAL
SANTA CLARA, CA 95051-3041
Phone number: 408-524-5952
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Mailing Address
KENNETH VERESCHAGIN MD
2350 W EL CAMINO REAL 2ND FLOOR
MOUNTAIN VIEW, CA 94040-6201
Phone number:
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