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1770694598
KENNETH FREDERICK PROSSER
SANTA ROSA, CA
NPI
1770694598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA G70988)
Enumeration Date
2006-08-31
Last Update Date
2021-11-09
Business Address
Dr. KENNETH FREDERICK PROSSER M.D.
500 DOYLE PARK DR SUITE 100
SANTA ROSA, CA 95405-4558
Phone number: 707-544-6090
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Mailing Address
Dr. KENNETH FREDERICK PROSSER M.D.
500 DOYLE PARK DR SUITE 100
SANTA ROSA, CA 95405-4558
Phone number: 707-544-6090
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