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1891769360
KEN ERNEST ROOT
GILBERT, AZ
NPI
1891769360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
(Licence: AZ 1688)
Enumeration Date
2006-02-13
Last Update Date
2007-09-04
Business Address
DR. KEN ERNEST ROOT D.O.
2730 S VAL VISTA DR SUITE # 146
GILBERT, AZ 85295-1675
Phone number: 480-926-0644
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Mailing Address
DR. KEN ERNEST ROOT D.O.
2730 S VAL VISTA DR SUITE # 146
GILBERT, AZ 85295-1675
Phone number: 480-926-0644
Copy
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