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1235501073
JIMMIE KOTOUC
DUBUQUE, IA
NPI
1235501073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 14045)
Enumeration Date
2015-10-20
Last Update Date
2015-10-20
Business Address
Mr. JIMMIE KOTOUC B.A., IADC
799 MAIN ST SUITE 110
DUBUQUE, IA 52001-6844
Phone number: 563-582-3784
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Mailing Address
Mr. JIMMIE KOTOUC B.A., IADC
799 MAIN ST SUITE 110
DUBUQUE, IA 52001-6844
Phone number: 563-582-3784
Copy
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