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1720090657
KENNETH WELLS
LOS ANGELES, CA
NPI
1720090657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA G30121)
Enumeration Date
2006-08-12
Last Update Date
2012-05-01
Business Address
-- KENNETH WELLS
300 MEDICAL PLZ
LOS ANGELES, CA 90095-0001
Phone number: 310-825-9989
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Mailing Address
-- KENNETH WELLS
5767 W CENTURY BLVD SUITE 200
LOS ANGELES, CA 90045-5632
Phone number: 310-825-9989
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