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1629204649
KENNETH ROBERT LEWIS
KENNEWICK, WA
NPI
1629204649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WA CP00004923)
Enumeration Date
2009-06-04
Last Update Date
2009-06-04
Business Address
Mr. KENNETH ROBERT LEWIS CP00004923
9412 W 5TH PL
KENNEWICK, WA 99336-9603
Phone number: 509-396-7510
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Mailing Address
Mr. KENNETH ROBERT LEWIS CP00004923
9412 W 5TH PL
KENNEWICK, WA 99336-9603
Phone number: 509-396-7510
Copy
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