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1811416027
KENYA DESAUTELS
ROSEVILLE, CA
NPI
1811416027
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Former Name
KENYA SANDHAGEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
Additional Taxonomies
224P00000X Prosthetist
Enumeration Date
2017-09-19
Last Update Date
2022-07-21
Business Address
KENYA DESAUTELS CPO
1411 SECRET RAVINE PKWY STE 100
ROSEVILLE, CA 95661-6042
Phone number: 916-784-6900
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Mailing Address
KENYA DESAUTELS CPO
1411 SECRET RAVINE PKWY STE 100
ROSEVILLE, CA 95661-6042
Phone number: 916-784-6900
Copy
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