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1518276864
EDWARD J MARTIN
GREAT BEND, KS
NPI
1518276864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-10-05
Last Update Date
2010-10-05
Business Address
-- EDWARD J MARTIN
1508 MAIN ST
GREAT BEND, KS 67530-4007
Phone number: 785-825-0541
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Mailing Address
-- EDWARD J MARTIN
509 E ELM ST
SALINA, KS 67401-2353
Phone number: 785-825-0541
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