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1215941422
GARY PAULSON
STILLWATER, MN
NPI
1215941422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 300891)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
-- GARY PAULSON LADC
375 ORLEANS ST E
STILLWATER, MN 55082-5830
Phone number: 651-430-2720
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Mailing Address
-- GARY PAULSON LADC
7066 STILLWATER BLVD N
OAKDALE, MN 55128-3937
Phone number: 651-777-5222
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