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1700566940
SALLY KECKEISEN
SPOKANE, WA
NPI
1700566940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-07-21
Last Update Date
2023-07-21
Business Address
SALLY KECKEISEN
4815 N ASSEMBLY ST
SPOKANE, WA 99205-6185
Phone number: 509-434-7000
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Mailing Address
SALLY KECKEISEN
2299 ORCHARD LN
WHITE BEAR LAKE, MN 55110-7506
Phone number: 920-723-7575
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