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1609112192
KENNETH T THOMPSON
SIMI VALLEY, CA
NPI
1609112192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA22683)
Enumeration Date
2013-01-02
Last Update Date
2013-01-02
Business Address
Mr. KENNETH T THOMPSON PA-C
2780 TAPO CANYON RD SUITE A3
SIMI VALLEY, CA 93063-6840
Phone number: 805-520-2929
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Mailing Address
Mr. KENNETH T THOMPSON PA-C
11586 CUMPSTON ST
NORTH HOLLYWOOD, CA 91601-2636
Phone number: 818-763-3124
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