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1194959692
BRIAN JOHN GOENTZEL
WICHITA, KS
NPI
1194959692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207LP2900X Anesthesiology, Pain Medicine
(Licence: KS 04-39829)
Enumeration Date
2009-05-12
Last Update Date
2018-03-17
Business Address
-- BRIAN JOHN GOENTZEL
1947 N FOUNDERS CIR
WICHITA, KS 67206-3548
Phone number: 316-613-4670
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Mailing Address
-- BRIAN JOHN GOENTZEL
PO BOX 8035
WICHITA, KS 67208-0035
Phone number:
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