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1710094933
KENNETH RUSSELL MARVIN
PEARL RIVER, NY
NPI
1710094933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111NS0005X Chiropractor, Sports Physician
(Licence: NY X08559)
Enumeration Date
2006-08-24
Last Update Date
2008-03-20
Business Address
Dr. KENNETH RUSSELL MARVIN DC
37 E CENTRAL AVE
PEARL RIVER, NY 10965-2306
Phone number: 845-735-4755
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Mailing Address
Dr. KENNETH RUSSELL MARVIN DC
37 E CENTRAL AVE
PEARL RIVER, NY 10965-2306
Phone number: 845-735-4755
Copy
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