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1154470193
KENNETH ALAN MANDLER
LIBERTY LAKE, WA
NPI
1154470193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Z00000X
(Licence: WA DI00000466)
Enumeration Date
2007-01-09
Last Update Date
2023-10-18
Business Address
Mr. KENNETH ALAN MANDLER c.o. certified ortho
509 N HOMESTEAD DR
LIBERTY LAKE, WA 99019-7580
Phone number: 509-389-4783
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Mailing Address
Mr. KENNETH ALAN MANDLER c.o. certified ortho
509 N HOMESTEAD DR
LIBERTY LAKE, WA 99019-7580
Phone number: 509-389-4783
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