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1528531274
KENNETH ADRIAN BLANCO REDON
BAKERSFIELD, CA
NPI
1528531274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ 219805)
Enumeration Date
2019-01-05
Last Update Date
2020-07-09
Business Address
Mr. KENNETH ADRIAN BLANCO REDON FNP
5400 ALDRIN CT
BAKERSFIELD, CA 93313-2103
Phone number: 661-489-5999
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Mailing Address
Mr. KENNETH ADRIAN BLANCO REDON FNP
2415 RINCONADA DR APT 14
SAN JOSE, CA 95125-2827
Phone number: 415-964-7441
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