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1629069307
WARREN LEIGH KENNEDY
MODESTO, CA
NPI
1629069307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: CA 6390TPA)
Enumeration Date
2005-11-02
Last Update Date
2012-09-06
Business Address
Mr. WARREN LEIGH KENNEDY OD
1401 SYLVAN AVE
MODESTO, CA 95355-1367
Phone number: 209-527-6640
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Mailing Address
Mr. WARREN LEIGH KENNEDY OD
1401 SYLVAN AVE
MODESTO, CA 95355-1367
Phone number: 209-527-6640
Copy
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