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1154693935
KENNETH KARL ANTLES
YAKIMA, WA
NPI
1154693935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00011099)
Enumeration Date
2012-02-08
Last Update Date
2012-02-08
Business Address
Mr. KENNETH KARL ANTLES R.Ph.
5801 SUMMITVIEW AVE
YAKIMA, WA 98908-3006
Phone number: 509-965-6393
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Mailing Address
Mr. KENNETH KARL ANTLES R.Ph.
5801 SUMMITVIEW AVE
YAKIMA, WA 98908-3006
Phone number: 509-965-6393
Copy
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