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1013436591
PETER JOSEPH DORSEN
EDEN PRAIRIE, MN
NPI
1013436591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302297)
Enumeration Date
2017-09-15
Last Update Date
2022-07-21
Business Address
PETER JOSEPH DORSEN
14377 CHESTNUT DRIVE
EDEN PRAIRIE, MN 55347
Phone number: 612-226-3106
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Mailing Address
PETER JOSEPH DORSEN
14377 CHESTNUT DR
EDEN PRAIRIE, MN 55347-1672
Phone number: 612-226-3106
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