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1699153544
KENNETH VANG
COLTON, CA
NPI
1699153544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95137415)
Enumeration Date
2015-05-12
Last Update Date
2018-08-15
Business Address
KENNETH VANG
400 N PEPPER AVE
COLTON, CA 92324
Phone number: 909-580-3144
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Mailing Address
KENNETH VANG
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3144
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