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1710703087
KENNY ROOSEVELT
SAN FRANCISCO, CA
NPI
1710703087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2024-12-02
Last Update Date
2024-12-02
Business Address
KENNY ROOSEVELT N/A
1380 HOWARD ST FL 2
SAN FRANCISCO, CA 94103-2649
Phone number: 628-754-9216
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Mailing Address
KENNY ROOSEVELT N/A
1380 HOWARD ST FL 2
SAN FRANCISCO, CA 94103-2649
Phone number: 628-754-9216
Copy
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