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1790447001
ANTHONY M WENTZ
CANDO, ND
NPI
1790447001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1914)
Enumeration Date
2021-10-13
Last Update Date
2021-10-13
Business Address
ANTHONY M WENTZ LAC
7448 68TH AVE. NE
CANDO, ND 58324
Phone number: 701-968-4056
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Mailing Address
ANTHONY M WENTZ LAC
101 EAST BROADWAY AVENUE
BISMARCK, ND 58501
Phone number: 701-222-0386
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