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1346789435
KENNETH BRACONNIER
YAKIMA, WA
NPI
1346789435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60145197)
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
-- KENNETH BRACONNIER
5301 TIETON DR SUITE C
YAKIMA, WA 98908-3479
Phone number: 509-965-7100
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Mailing Address
-- KENNETH BRACONNIER
5301 TIETON DR SUITE C
YAKIMA, WA 98908-3479
Phone number: 509-965-7100
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