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1649286907
KENNETH A PEREZ
AUSTIN, TX
NPI
1649286907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX L6571)
Enumeration Date
2006-07-31
Last Update Date
2012-01-12
Business Address
-- KENNETH A PEREZ DO
3828 S 1ST ST
AUSTIN, TX 78704-7048
Phone number: 512-443-1311
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Mailing Address
-- KENNETH A PEREZ DO
PO BOX 26726
AUSTIN, TX 78755-0726
Phone number: 512-407-8686
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