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1689325425
KENYATTA IRVIN
PALMDALE, CA
NPI
1689325425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95018472)
Enumeration Date
2022-01-13
Last Update Date
2022-10-06
Business Address
KENYATTA IRVIN NP
607 W AVENUE Q STE A
PALMDALE, CA 93551-3872
Phone number: 562-552-1374
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Mailing Address
KENYATTA IRVIN NP
19401 PARTHENIA ST APT 1040
NORTHRIDGE, CA 91324-3241
Phone number: 562-552-1374
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