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1548242068
MERVIN L BONTRAGER
WICHITA, KS
NPI
1548242068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KS 0256)
Enumeration Date
2005-11-18
Last Update Date
2007-07-08
Business Address
-- MERVIN L BONTRAGER LSCSW
9333 EAST 21ST. ST., NORTH
WICHITA, KS 67206-2927
Phone number: 316-634-4700
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Mailing Address
-- MERVIN L BONTRAGER LSCSW
9333 EAST 21ST. ST., NORTH
WICHITA, KS 67206-2927
Phone number: 316-634-4700
Copy
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