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1861182958
KENRICK GEORGE DEA
SACRAMENTO, CA
NPI
1861182958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA 47981)
Enumeration Date
2023-05-11
Last Update Date
2023-05-11
Business Address
KENRICK GEORGE DEA
4301 X ST
SACRAMENTO, CA 95817-2214
Phone number: 916-734-2011
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Mailing Address
KENRICK GEORGE DEA
3097 RADIANT WAY
ROSEVILLE, CA 95747-8737
Phone number:
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