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1356628630
BRAD LEE KENNEDY
VANCOUVER, WA
NPI
1356628630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: WA MA60188011)
Enumeration Date
2011-11-15
Last Update Date
2011-11-15
Business Address
BRAD LEE KENNEDY LMP
2402 BROADWAY ST
VANCOUVER, WA 98663-3229
Phone number: 360-241-6630
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Mailing Address
BRAD LEE KENNEDY LMP
13502 SE HAROLD ST
PORTLAND, OR 97236-4149
Phone number: 503-933-8717
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