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1790086056
KENNEDY RAY REDDICK
POMPANO BEACH, FL
NPI
1790086056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2010-11-03
Last Update Date
2010-11-03
Business Address
Mr. KENNEDY RAY REDDICK
2708 NE 14TH ST APT 5
POMPANO BEACH, FL 33062-3564
Phone number: 954-603-7885
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Mailing Address
Mr. KENNEDY RAY REDDICK
4131 FESCUE CT APT E
HOPE MILLS, NC 28348-7866
Phone number: 252-933-3666
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