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1093928459
RITA MARIE CANNONWOLF
ALEXANDRIA, MN
NPI
1093928459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: MN 324500000X)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
Mrs. RITA MARIE CANNONWOLF B.A, T-ADC
222 9TH AVE W
ALEXANDRIA, MN 56308-2221
Phone number: 320-763-3912
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Mailing Address
Mrs. RITA MARIE CANNONWOLF B.A, T-ADC
222 9TH AVE W
ALEXANDRIA, MN 56308-2221
Phone number: 320-763-3912
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