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Individual

MR. KENNETH KARL ANTLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
5801 SUMMITVIEW AVE, YAKIMA, WA 98908-3006
(509) 965-6393
(509) 965-5966
Mailing address
5801 SUMMITVIEW AVE, YAKIMA, WA 98908-3006
(509) 965-6393
(509) 965-5966

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00011099
WA

Other

Enumeration date
02/08/2012
Last updated
02/08/2012
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