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1104819465
JOHN KENNETH FORD
TACOMA, WA
NPI
1104819465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: WA PO00000753)
Enumeration Date
2005-08-23
Last Update Date
2017-04-30
Business Address
JOHN KENNETH FORD DPM
3407 E M ST
TACOMA, WA 98404-3931
Phone number: 206-275-9705
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Mailing Address
JOHN KENNETH FORD DPM
PO BOX 111556
TACOMA, WA 98411-1556
Phone number: 253-686-8840
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