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1427561927
MARK ANTHONY MALDONADO
MANHATTAN, KS
NPI
1427561927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 1550)
Enumeration Date
2017-11-07
Last Update Date
2017-11-07
Business Address
MARK ANTHONY MALDONADO
1558 HAYES DR
MANHATTAN, KS 66502-5068
Phone number: 785-587-4300
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Mailing Address
MARK ANTHONY MALDONADO
2001 CLAFLIN RD
MANHATTAN, KS 66502-3415
Phone number: 785-587-4300
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