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1114692092
JOHN THEODORE GUDAHL
ROCHESTER, MN
NPI
1114692092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305754)
Enumeration Date
2021-08-12
Last Update Date
2021-08-12
Business Address
JOHN THEODORE GUDAHL LADC
300 11TH AVE NW STE 112
ROCHESTER, MN 55901-2739
Phone number: 507-216-6500
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Mailing Address
JOHN THEODORE GUDAHL LADC
5633 WHITE OAKS LN NW
ROCHESTER, MN 55901-3778
Phone number: 218-341-4527
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