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1942822184
KENNETH JEROME HAINSWORTH
STOCKTON, CA
NPI
1942822184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-05-11
Last Update Date
2020-05-11
Business Address
KENNETH JEROME HAINSWORTH DO
1800 N CALIFORNIA ST
STOCKTON, CA 95204-6019
Phone number: 209-943-2000
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Mailing Address
KENNETH JEROME HAINSWORTH DO
1800 N CALIFORNIA ST
STOCKTON, CA 95204-6019
Phone number: 209-943-2000
Copy
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