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1407571177
KENNETH J. BROCK
OLYMPIA, WA
NPI
1407571177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2022-10-05
Last Update Date
2022-10-05
Business Address
KENNETH J. BROCK
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502-7208
Phone number: 360-878-8248
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Mailing Address
KENNETH J. BROCK
4015 ROCK MAPLE LN NW APT 102
OLYMPIA, WA 98502-3899
Phone number: 253-320-6695
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