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1730154592
KENNETH VICTOR MISELIS
STOCKTON, CA
NPI
1730154592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA 00G502810)
Enumeration Date
2006-02-22
Last Update Date
2009-03-23
Business Address
DR. KENNETH VICTOR MISELIS M.D.
445 W POPLAR ST
STOCKTON, CA 95203-2426
Phone number: 209-465-5933
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Mailing Address
DR. KENNETH VICTOR MISELIS M.D.
445 W POPLAR ST
STOCKTON, CA 95203-2426
Phone number: 209-465-5933
Copy
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