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1982253050
KENN MACEREN
COLTON, CA
NPI
1982253050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 801251)
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
KENN MACEREN
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3145
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Mailing Address
KENN MACEREN
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number:
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