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1144615626
BRIAN LEE DYKE
MINNEAPOLIS, MN
NPI
1144615626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302794)
Enumeration Date
2015-04-01
Last Update Date
2023-09-29
Business Address
Mr. BRIAN LEE DYKE LADC
1828 JEFFERSON ST NE STE C
MINNEAPOLIS, MN 55418-4427
Phone number: 612-362-8931
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Mailing Address
Mr. BRIAN LEE DYKE LADC
1828 JEFFERSON ST NE STE C
MINNEAPOLIS, MN 55418-4427
Phone number: 612-362-8931
Copy
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