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1932154887
KENNETH WAYNE GATES
WACO, TX
NPI
1932154887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: TX 14494)
Enumeration Date
2006-05-22
Last Update Date
2007-07-08
Business Address
Mr. KENNETH WAYNE GATES M SW
4800 MEMORIAL DR
WACO, TX 76711-1329
Phone number: 254-356-5297
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Mailing Address
Mr. KENNETH WAYNE GATES M SW
204 WHITE HALL RD
WACO, TX 76712-3850
Phone number: 254-776-1393
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