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1972013597
DIANE MARIE KENNEDY
TRACY, CA
NPI
1972013597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95006559)
Enumeration Date
2017-10-10
Last Update Date
2018-03-17
Business Address
DIANE MARIE KENNEDY NP
2185 W GRANT LINE RD
TRACY, CA 95377-7309
Phone number: 209-839-6231
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Mailing Address
DIANE MARIE KENNEDY NP
2185 W GRANT LINE RD
TRACY, CA 95377-7309
Phone number:
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