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1811310253
KENNETH KALLIES
SAN ANTONIO, TX
NPI
1811310253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 572418)
Enumeration Date
2014-01-21
Last Update Date
2014-01-21
Business Address
-- KENNETH KALLIES RN
9540 DILEEN ST
SAN ANTONIO, TX 78263-9625
Phone number: 210-643-6760
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Mailing Address
-- KENNETH KALLIES RN
9540 DILEEN ST.
SAN ANTONIO, TX 78263
Phone number: 210-643-6760
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