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Individual

CURTIS PERRY KERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2140 MERCED ST, FRESNO, CA 93721-1721
(559) 892-1125
Mailing address
2140 MERCED ST, FRESNO, CA 93721-1721
(559) 892-1125

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
E1199895
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E1199895
DRIVER LICENSE
CA
Enumeration date
01/05/2018
Last updated
01/05/2018
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