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1902855588
KERRY B EVNIN MD INC A PROFESSIONAL MEDICAL CORPORATION
CERES, CA
NPI
1902855588
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Entity Type
Organization
Authorized Contact
KERRY B EVNIN
President
209-531-0154
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 655240)
Enumeration Date
2006-05-09
Last Update Date
2010-06-29
Business Address
KERRY B EVNIN MD INC A PROFESSIONAL MEDICAL CORPORATION
3641 MITCHELL RD H
CERES, CA 95307
Phone number: 209-531-0154
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Mailing Address
KERRY B EVNIN MD INC A PROFESSIONAL MEDICAL CORPORATION
3641 MITCHELL RD H
CERES, CA 95307
Phone number: 209-531-0154
Copy
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