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1003197567
DENNIS NELSON
PRIOR LAKE, MN
NPI
1003197567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 300740)
Enumeration Date
2011-08-29
Last Update Date
2011-08-29
Business Address
DENNIS NELSON BS, LADC
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372-9077
Phone number: 952-496-6164
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Mailing Address
DENNIS NELSON BS, LADC
2330 SIOUX TRL NW
PRIOR LAKE, MN 55372-9077
Phone number: 952-496-6164
Copy
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