KENNETH PAUL JAMES

SAN LUIS OBISPO, CA
NPI1649519026
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
(Licence: CA  CPO 02934)
Additional Taxonomies222Z00000X 
(Licence: CA  CPO 02934)
Enumeration Date2013-02-05
Last Update Date2013-02-05
Business Address
-- KENNETH PAUL JAMES CPO
4212 MORNING GLORY WAY
SAN LUIS OBISPO, CA 93401-7645
Phone number: 805-242-6170
Mailing Address
-- KENNETH PAUL JAMES CPO
4212 MORNING GLORY WAY
SAN LUIS OBISPO, CA 93401-7645
Phone number: 805-242-6170
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