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1912521626
KENNETH JEFFERSON ALLEN
WILMINGTON, NC
NPI
1912521626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: NC 004802)
Enumeration Date
2020-05-29
Last Update Date
2020-05-29
Business Address
Mr. KENNETH JEFFERSON ALLEN RD, LDN
2106 BARNETT AVE
WILMINGTON, NC 28403-2240
Phone number: 910-622-3096
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Mailing Address
Mr. KENNETH JEFFERSON ALLEN RD, LDN
2106 BARNETT AVE
WILMINGTON, NC 28403-2240
Phone number: 910-622-3096
Copy
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