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1710010400
ROD MARTIN
EL DORADO, KS
NPI
1710010400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: KS 072)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
Mr. ROD MARTIN LCMFT
120 N MAIN ST STE 5
EL DORADO, KS 67042-2058
Phone number: 316-320-9333
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Mailing Address
Mr. ROD MARTIN LCMFT
400 SW RIVER VALLEY RD
TOWANDA, KS 67144-9361
Phone number: 316-320-9333
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