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1548242662
KENNETH BANGS
FRESNO, CA
NPI
1548242662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 10049)
Enumeration Date
2005-11-15
Last Update Date
2015-09-09
Business Address
-- KENNETH BANGS NP
1247 E ALLUVIAL AVE SUITE 101
FRESNO, CA 93720-2686
Phone number: 559-431-6226
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Mailing Address
-- KENNETH BANGS NP
6042N FRESNO ST 203
FRESNO, CA 93710-5279
Phone number: 559-435-1897
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