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1407145899
KENT DOUGLAS BARNES
OSHKOSH, WI
NPI
1407145899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302873)
Enumeration Date
2011-04-06
Last Update Date
2020-07-16
Business Address
Mr. KENT DOUGLAS BARNES BS, LADC
505 S WASHBURN ST
OSHKOSH, WI 54904-7949
Phone number: 920-232-2332
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Mailing Address
Mr. KENT DOUGLAS BARNES BS, LADC
505 S WASHBURN ST
OSHKOSH, WI 54904-7949
Phone number: 920-232-2332
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