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1841768959
DERRICK WILLIAM KENNETH RUTAN
KENNEWICK, WA
NPI
1841768959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-11-06
Last Update Date
2018-11-06
Business Address
DERRICK WILLIAM KENNETH RUTAN
3321 W KENNEWICK AVE STE 150
KENNEWICK, WA 99336-2968
Phone number: 509-735-6446
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Mailing Address
DERRICK WILLIAM KENNETH RUTAN
3321 W KENNEWICK AVE STE 150
KENNEWICK, WA 99336-2968
Phone number: 509-735-6446
Copy
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