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1801041850
KRIS GEORGE RADKE
PHOENIX, AZ
NPI
1801041850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-0186)
Enumeration Date
2008-11-18
Last Update Date
2008-11-18
Business Address
Mr. KRIS GEORGE RADKE M.C., M.A.T.
1510 E FLOWER ST
PHOENIX, AZ 85014-5656
Phone number: 602-530-6970
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Mailing Address
Mr. KRIS GEORGE RADKE M.C., M.A.T.
6913 W MONONA DR
GLENDALE, AZ 85308-8983
Phone number: 623-261-8558
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