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1528735339
REY KENNETH MANZANO
FRESNO, CA
NPI
1528735339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95018083)
Enumeration Date
2021-08-28
Last Update Date
2022-01-09
Business Address
REY KENNETH MANZANO FNP-BC, NP-C
2555 S EAST AVE
FRESNO, CA 93706-5104
Phone number: 559-499-2400
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Mailing Address
REY KENNETH MANZANO FNP-BC, NP-C
2555 S EAST AVE FRESNO
FRESNO, CA 93706
Phone number: 559-499-2400
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