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1417045857
KENNETH LEO FLECK
TACOMA, WA
NPI
1417045857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA10001613)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
Mr. KENNETH LEO FLECK PA-C
910 TACOMA AVE S
TACOMA, WA 98402-2104
Phone number: 253-708-4033
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Mailing Address
Mr. KENNETH LEO FLECK PA-C
5012 161ST ST E
TACOMA, WA 98446-3810
Phone number: 253-536-1232
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