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1013018480
ALAN A ABRAHAM
VIRGINIA, MN
NPI
1013018480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301462)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
-- ALAN A ABRAHAM Alcohol Drug Counsel
626 S 13TH ST DETOX RANGE TREATMENT CENTER
VIRGINIA, MN 55792
Phone number: 218-741-9120
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Mailing Address
-- ALAN A ABRAHAM Alcohol Drug Counsel
626 S 13TH ST DETOX RANGE TREATMENT CENTER
VIRGINIA, MN 55792
Phone number: 218-741-9120
Copy
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