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1912917865
KENNETH LEE WILLEFORD
SUPPLY, NC
NPI
1912917865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: NC 36621)
Enumeration Date
2006-08-09
Last Update Date
2014-02-13
Business Address
Dr. KENNETH LEE WILLEFORD M.D.
10 DOCTORS CIR SUITE 2
SUPPLY, NC 28462-4089
Phone number: 910-755-6060
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Mailing Address
Dr. KENNETH LEE WILLEFORD M.D.
10 DOCTORS CIR SUITE 2
SUPPLY, NC 28462-4089
Phone number: 910-755-6060
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