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1235608894
ANDREW MARK SCHWAB
BEMIDJI, MN
NPI
1235608894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2018-11-13
Last Update Date
2018-11-13
Business Address
ANDREW MARK SCHWAB
9517 CHAD DR NW
BEMIDJI, MN 56601-9032
Phone number: 218-410-0155
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Mailing Address
ANDREW MARK SCHWAB
9517 CHAD DR NW
BEMIDJI, MN 56601-9032
Phone number: 218-410-0155
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