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1417035965
SLOAN KENNETH JORGENSEN
MOSES LAKE, WA
NPI
1417035965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00008463)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Dr. SLOAN KENNETH JORGENSEN DDS
823 E COLONIAL AVE
MOSES LAKE, WA 98837-4611
Phone number: 509-765-7853
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Mailing Address
Dr. SLOAN KENNETH JORGENSEN DDS
823 E COLONIAL AVE
MOSES LAKE, WA 98837-4611
Phone number: 509-765-7853
Copy
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