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1558371021
KENNETH HAWTHORNE
TEMPLE, TX
NPI
1558371021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX Pa01014)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
Mr. KENNETH HAWTHORNE PA-C
1901 S 1ST ST
TEMPLE, TX 76504-7451
Phone number: 254-287-4762
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Mailing Address
Mr. KENNETH HAWTHORNE PA-C
4402 E STAGECOACH RD
KILLEEN, TX 76542-9761
Phone number: 254-690-5014
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