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1083336002
KENNETH LEE MARKLINE
PUYALLUP, WA
NPI
1083336002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
Enumeration Date
2022-09-15
Last Update Date
2022-09-15
Business Address
Mr. KENNETH LEE MARKLINE BA
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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Mailing Address
Mr. KENNETH LEE MARKLINE BA
12009 91ST AVENUE CT E
PUYALLUP, WA 98373-7905
Phone number: 253-495-0505
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