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1740920842
LARRY SHEPHERD
IOLA, KS
NPI
1740920842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
LARRY SHEPHERD
304 N JEFFERSON AVE
IOLA, KS 66749-2327
Phone number: 620-365-5717
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Mailing Address
LARRY SHEPHERD
304 N JEFFERSON AVE
IOLA, KS 66749-2327
Phone number:
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