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1720032923
KENNETH O NETZEL
VANCOUVER, WA
NPI
1720032923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA1002720)
Enumeration Date
2006-05-20
Last Update Date
2007-12-06
Business Address
-- KENNETH O NETZEL PA-C
600 NE 92ND AVE
VANCOUVER, WA 98664-3225
Phone number: 360-514-2142
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Mailing Address
-- KENNETH O NETZEL PA-C
PO BOX 5037 UNIT 282
PORTLAND, OR 97208-5037
Phone number: 360-514-2142
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