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1821393182
KYLE DAVID BROADBENT
KENNEWICK, WA
NPI
1821393182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 63294)
Enumeration Date
2011-01-18
Last Update Date
2016-05-23
Business Address
Mr. KYLE DAVID BROADBENT
6501 W DESCHUTES AVE
KENNEWICK, WA 99336-7772
Phone number: 509-939-3204
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Mailing Address
Mr. KYLE DAVID BROADBENT
6501 W DESCHUTES AVE
KENNEWICK, WA 99336-7772
Phone number: 509-939-3204
Copy
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