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1689934168
KENNETH JOHN BLUNT
LA JOLLA, CA
NPI
1689934168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA g21211)
Enumeration Date
2012-05-18
Last Update Date
2012-05-18
Business Address
-- KENNETH JOHN BLUNT M.D.
5942 AVENIDA CHAMNEZ
LA JOLLA, CA 92037-7402
Phone number: 858-459-5977
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Mailing Address
-- KENNETH JOHN BLUNT M.D.
5942 AVENIDA CHAMNEZ
LAJOLLA, CA 92037-7402
Phone number: 858-459-5977
Copy
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