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1891708376
KENNETH RAY TAYLOR
VAN NUYS, CA
NPI
1891708376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA-15549)
Enumeration Date
2006-08-14
Last Update Date
2021-11-03
Business Address
Mr. KENNETH RAY TAYLOR PA-C
16300 ROSCOE BLVD
VAN NUYS, CA 91406-1258
Phone number: 818-893-4426
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Mailing Address
Mr. KENNETH RAY TAYLOR PA-C
10630 SEPULVEDA BLVD STE 100
MISSION HILLS, CA 91345-1937
Phone number: 818-933-4440
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