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1780319798
KENNETH LANCE VANKOOTEN
AUBURN, WA
NPI
1780319798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-07-22
Last Update Date
2024-09-24
Business Address
KENNETH LANCE VANKOOTEN cpc
3320 AUBURN WAY N
AUBURN, WA 98002-1805
Phone number: 253-398-9567
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Mailing Address
KENNETH LANCE VANKOOTEN cpc
3704 MORRIS AVE S
RENTON, WA 98055-5737
Phone number: 206-507-8383
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