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1164618286
DONALD EUGENE SKRDLANT
SIOUX CITY, IA
NPI
1164618286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA 07003)
Enumeration Date
2007-09-21
Last Update Date
2007-09-21
Business Address
MR. DONALD EUGENE SKRDLANT BS, CCDP
915 PIERCE ST
SIOUX CITY, IA 51101-1031
Phone number: 712-277-0809
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Mailing Address
MR. DONALD EUGENE SKRDLANT BS, CCDP
915 PIERCE ST
SIOUX CITY, IA 51101-1031
Phone number: 712-277-0809
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