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1841054087
LAVENDER BRACKNEY
RENTON, WA
NPI
1841054087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2024-02-08
Last Update Date
2024-02-08
Business Address
LAVENDER BRACKNEY
221 WELLS AVE S
RENTON, WA 98057-2161
Phone number: 253-833-7444
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Mailing Address
LAVENDER BRACKNEY
325 W GOWE ST
KENT, WA 98032-5892
Phone number: 253-833-7444
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