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1114493814
KIEFER D DENNISTON
COLVILLE, WA
NPI
1114493814
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG60882171)
Enumeration Date
2018-10-19
Last Update Date
2018-12-13
Business Address
KIEFER D DENNISTON
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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Mailing Address
KIEFER D DENNISTON
1618 N ALTAMONT ST
SPOKANE, WA 99207-5265
Phone number: 509-608-6174
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