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1558395467
DAGOBERTO HEREDIA
LAWRENCE, KS
NPI
1558395467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KS 08-00268)
Enumeration Date
2006-07-10
Last Update Date
2022-07-21
Business Address
DAGOBERTO HEREDIA
346 MAINE ST STE 150
LAWRENCE, KS 66044-1393
Phone number: 785-841-7297
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Mailing Address
DAGOBERTO HEREDIA
120 W 8TH ST
ONAGA, KS 66521-9574
Phone number: 785-841-7297
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