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1033356423
KENNETH EDWARD SERKOWNEK
ROSEBURG, OR
NPI
1033356423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: OR 587)
Enumeration Date
2009-01-07
Last Update Date
2009-01-12
Business Address
-- KENNETH EDWARD SERKOWNEK PhD
770 SE KANE ST
ROSEBURG, OR 97470-3943
Phone number: 541-673-0057
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Mailing Address
-- KENNETH EDWARD SERKOWNEK PhD
770 SE KANE ST
ROSEBURG, OR 97470-3943
Phone number: 541-673-0057
Copy
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