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Individual

KENDELL HOUSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
656 ANNETTE AVE, COLUMBUS, GA 31906-3904
(706) 393-3456
Mailing address
656 ANNETTE AVE, COLUMBUS, GA 31906-3904
(706) 393-3456

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
08/15/2014
Last updated
08/15/2014
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