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1871514687
KENNETH L MAXWELL
LOMA LINDA, CA
NPI
1871514687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 20A7972)
Enumeration Date
2006-07-21
Last Update Date
2016-09-23
Business Address
-- KENNETH L MAXWELL D.O.
11370 ANDERSON ST STE 3150
LOMA LINDA, CA 92354-3450
Phone number: 909-558-2191
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Mailing Address
-- KENNETH L MAXWELL D.O.
8260 LONGLEAF DR,
ELK GROVE, CA 95758
Phone number: 951-737-2683
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