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1659703114
KENNETH ALONZO CARROLL
CULVER CITY, CA
NPI
1659703114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-08-06
Last Update Date
2013-08-06
Business Address
Mr. KENNETH ALONZO CARROLL
6666 GREEN VALLEY CIR
CULVER CITY, CA 90230-7068
Phone number: 310-846-5270
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Mailing Address
Mr. KENNETH ALONZO CARROLL
6666 GREEN VALLEY CIR
CULVER CITY, CA 90230-7068
Phone number: 310-846-5270
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