KENNETH ILLSON

ALISO VIEJO, CA
NPI1659554525
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: CA  DC17202)
Enumeration Date2007-12-13
Last Update Date2007-12-26
Business Address
-- KENNETH ILLSON DC
27 STYLE DR
ALISO VIEJO, CA 92656-8090
Phone number: 949-215-1310
Mailing Address
-- KENNETH ILLSON DC
27 STYLE DR
ALISO VIEJO, CA 92656-8090
Phone number: 949-215-1310
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