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1740528488
NATHAN Z MAGRUDER
WICHITA, KS
NPI
1740528488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 852)
Enumeration Date
2013-01-30
Last Update Date
2024-09-30
Business Address
NATHAN Z MAGRUDER LAC
2944 S FERN ST
WICHITA, KS 67217-2426
Phone number: 316-218-7734
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Mailing Address
NATHAN Z MAGRUDER LAC
2944 S FERN ST
WICHITA, KS 67217-2426
Phone number: 316-218-7734
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