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1578233698
JACOB KENNETH MADDEN
VANCOUVER, WA
NPI
1578233698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-09-20
Last Update Date
2021-09-20
Business Address
JACOB KENNETH MADDEN
9300 NE OAK VIEW DR
VANCOUVER, WA 98662-6157
Phone number: 360-567-2211
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Mailing Address
JACOB KENNETH MADDEN
9300 NE OAK VIEW DR
VANCOUVER, WA 98662-6157
Phone number: 360-567-2211
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