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1093851107
VIRGINIA BERUBE
GLENDIVE, MT
NPI
1093851107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 1077)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
-- VIRGINIA BERUBE LAC
119 S KENDRICK AVE
GLENDIVE, MT 59330-1626
Phone number: 406-377-5942
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Mailing Address
-- VIRGINIA BERUBE LAC
119 S KENDRICK AVE
GLENDIVE, MT 59330-1626
Phone number: 406-377-5942
Copy
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