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1710685243
KENNEDY LEWALLEN
KISSIMMEE, FL
NPI
1710685243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OK 3279)
Enumeration Date
2023-02-23
Last Update Date
2023-02-23
Business Address
KENNEDY LEWALLEN
201 PARK PLACE BLVD
KISSIMMEE, FL 34741-2345
Phone number: 407-530-5063
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Mailing Address
KENNEDY LEWALLEN
601 SEQUOYAH LN
ALTUS, OK 73521-1753
Phone number:
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