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1073158408
JACK K HARTLEY
JAMESTOWN, ND
NPI
1073158408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1034-10-1-19A)
Enumeration Date
2019-11-08
Last Update Date
2019-11-08
Business Address
JACK K HARTLEY
520 3RD ST NW
JAMESTOWN, ND 58401-2968
Phone number: 701-253-6300
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Mailing Address
JACK K HARTLEY
520 3RD ST NW
JAMESTOWN, ND 58401-2968
Phone number: 701-253-6300
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