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1124307285
JUSTUN J KITZAN
BISMARCK, ND
NPI
1124307285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1624)
Enumeration Date
2011-08-08
Last Update Date
2015-02-12
Business Address
-- JUSTUN J KITZAN LAC
1237 W DIVIDE AVE STE 5
BISMARCK, ND 58501-1208
Phone number: 701-328-8888
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Mailing Address
-- JUSTUN J KITZAN LAC
1237 W DIVIDE AVE STE 5
BISMARCK, ND 58501-1208
Phone number: 701-328-8888
Copy
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