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1538691191
KENNETH DISBROW
ATLANTA, GA
NPI
1538691191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 81606)
Enumeration Date
2017-03-31
Last Update Date
2021-08-12
Business Address
KENNETH DISBROW
49 JESSE HILL JR DR SE
ATLANTA, GA 30303-3049
Phone number: 404-251-8865
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Mailing Address
KENNETH DISBROW
1540 GREGORY AVE
UNION, NJ 07083-5542
Phone number: 908-612-0587
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