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1538182712
KENNETH EARL AVERILL
SANTA CRUZ, CA
NPI
1538182712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA G68088)
Enumeration Date
2006-07-26
Last Update Date
2024-11-11
Business Address
KENNETH EARL AVERILL MD
1685B COMMERCIAL WAY
SANTA CRUZ, CA 95065-1703
Phone number: 831-476-7711
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Mailing Address
KENNETH EARL AVERILL MD
3400 DATA DR
RANCHO CORDOVA, CA 95670-7956
Phone number:
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