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1144410358
WILLIAM D BRINK
FARGO, ND
NPI
1144410358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1145)
Enumeration Date
2007-07-25
Last Update Date
2007-07-25
Business Address
-- WILLIAM D BRINK LAC
510 4TH ST S
FARGO, ND 58103-1914
Phone number: 701-476-7200
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Mailing Address
-- WILLIAM D BRINK LAC
510 4TH ST S
FARGO, ND 58103-1914
Phone number: 701-476-7200
Copy
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