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Individual

MR. KENNETH O HARDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
102 NE 10TH AVE, SUITE #10, GAINESVILLE, FL 32601-2300
(352) 373-9233
(352) 379-9530
Mailing address
102 NE 10TH AVE, SUITE #10, GAINESVILLE, FL 32601-2300
(352) 373-9233
(352) 379-9530

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
F593675698001
FL

Other

Enumeration date
04/01/2008
Last updated
04/01/2008
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