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1780094417
KENNETH LAM
MESA, AZ
NPI
1780094417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AZ 0994)
Enumeration Date
2014-05-02
Last Update Date
2014-05-02
Business Address
-- KENNETH LAM Sc.D., ATC
5850 E STILL CIR
MESA, AZ 85206-3618
Phone number: 480-245-6244
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Mailing Address
-- KENNETH LAM Sc.D., ATC
4111 N DRINKWATER BLVD APT D402
SCOTTSDALE, AZ 85251-3671
Phone number:
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