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1285874537
ROBERTA R NELSON
FARGO, ND
NPI
1285874537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ND 1594)
Enumeration Date
2009-02-26
Last Update Date
2009-02-26
Business Address
ROBERTA R NELSON LAC
4227 9TH AVE SW
FARGO, ND 58103-2018
Phone number: 701-282-6561
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Mailing Address
ROBERTA R NELSON LAC
4227 9TH AVE SW
FARGO, ND 58103-2018
Phone number: 701-282-6561
Copy
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