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1144831959
BRIAN JAMES ROSE
MINNEAPOLIS, MN
NPI
1144831959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305283)
Enumeration Date
2020-08-14
Last Update Date
2020-08-14
Business Address
BRIAN JAMES ROSE
5061 LYNDALE AVE S
MINNEAPOLIS, MN 55419-1215
Phone number: 952-240-9158
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Mailing Address
BRIAN JAMES ROSE
5061 LYNDALE AVE S
MINNEAPOLIS, MN 55419-1215
Phone number: 952-240-9158
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