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Individual

KENRICK GEORGE DEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4301 X ST, SACRAMENTO, CA 95817-2214
(916) 734-2011
Mailing address
3097 RADIANT WAY, ROSEVILLE, CA 95747-8737

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
47981
CA

Other

Enumeration date
05/11/2023
Last updated
05/11/2023
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