NATHAN Z MAGRUDER

WICHITA, KS
NPI1740528488
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS  852)
Enumeration Date2013-01-30
Last Update Date2014-03-31
Business Address
-- NATHAN Z MAGRUDER LAC
212 N HILLSIDE ST
WICHITA, KS 67214-4935
Phone number: 316-558-3066
Mailing Address
-- NATHAN Z MAGRUDER LAC
212 N HILLSIDE ST
WICHITA, KS 67214-4935
Phone number: 316-558-3066
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