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1841318524
KENN SMALL
LOS ANGELES, CA
NPI
1841318524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
Mr. KENN SMALL
6055 E WASHINGTON BLVD 900
LOS ANGELES, CA 90040-2418
Phone number: 323-346-0960
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Mailing Address
Mr. KENN SMALL
736 S WILTON PL APT # 7
LOS ANGELES, CA 90005-3518
Phone number: 213-365-6165
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