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1609496249
OMAR KENNEDY
LOS ANGELES, CA
NPI
1609496249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date
2020-04-23
Last Update Date
2020-04-23
Business Address
OMAR KENNEDY ATC
2560 COLORADO BLVD
LOS ANGELES, CA 90041-1005
Phone number: 323-255-5409
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Mailing Address
OMAR KENNEDY ATC
10876 PALMS BLVD APT 10
LOS ANGELES, CA 90034-5553
Phone number: 917-279-0861
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