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1629051974
KENNETH DUANE LARSON
ELLENSBURG, WA
NPI
1629051974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00010753)
Enumeration Date
2005-11-21
Last Update Date
2023-03-07
Business Address
-- KENNETH DUANE LARSON R.Ph.
603 S CHESTNUT ST
ELLENSBURG, WA 98926-3875
Phone number: 509-962-7329
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Mailing Address
-- KENNETH DUANE LARSON R.Ph.
5671 MOUNTAIN LN
PESHASTIN, WA 98847-9765
Phone number: 509-548-4903
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