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1053578005
BRUCE E GILLETTE
DICKINSON, ND
NPI
1053578005
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1378)
Enumeration Date
2008-05-19
Last Update Date
2008-11-28
Business Address
Mr. BRUCE E GILLETTE LAC
300 13TH AVE W STE 1
DICKINSON, ND 58601-4875
Phone number: 701-227-7580
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Mailing Address
Mr. BRUCE E GILLETTE LAC
300 13TH AVE W STE 1
DICKINSON, ND 58601-4875
Phone number: 701-227-7580
Copy
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