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1053921999
LUIS VALENCIA COCA
MINOT, ND
NPI
1053921999
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1869)
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
Mr. LUIS VALENCIA COCA LAC
407 3RD ST SE
MINOT, ND 58701-4470
Phone number: 701-857-2480
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Mailing Address
Mr. LUIS VALENCIA COCA LAC
407 3RD ST SE
MINOT, ND 58701-4470
Phone number: 701-857-2480
Copy
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