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1730797218
KENNETH BUTLER
JACKSONVILLE, FL
NPI
1730797218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2020-07-21
Last Update Date
2020-07-21
Business Address
KENNETH BUTLER
10912 WAHINE DR S
JACKSONVILLE, FL 32246-9446
Phone number: 904-554-0912
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Mailing Address
KENNETH BUTLER
10912 WAHINE DR S
JACKSONVILLE, FL 32246-9446
Phone number: 904-554-0912
Copy
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