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1023009008
KENNETH JAMES VINING
BREMERTON, WA
NPI
1023009008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA10003680)
Enumeration Date
2005-10-31
Last Update Date
2009-11-24
Business Address
Mr. KENNETH JAMES VINING PA-C
NAVAL HOSPITAL BREMERTON 1 BOONE ROAD
BREMERTON, WA 98312-1898
Phone number: 360-315-4346
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Mailing Address
Mr. KENNETH JAMES VINING PA-C
NAVAL HOSPITAL BREMERTON 1 BOONE ROAD
BREMERTON, WA 98312-1898
Phone number: 360-315-4346
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