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1154075372
REACE RAINWATER
MANKATO, MN
NPI
1154075372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305203)
Enumeration Date
2022-02-07
Last Update Date
2022-02-07
Business Address
REACE RAINWATER LADC
802 S FRONT ST
MANKATO, MN 56001-2401
Phone number: 507-295-4940
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Mailing Address
REACE RAINWATER LADC
1019 S BROADWAY ST
NEW ULM, MN 56073-3410
Phone number: 507-766-9599
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