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1295126720
LINDA BONGO
ALEXANDRIA, MN
NPI
1295126720
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304096)
Enumeration Date
2015-02-05
Last Update Date
2015-02-05
Business Address
-- LINDA BONGO LADC
909 BROADWAY
ALEXANDRIA, MN 56308-2793
Phone number: 320-763-0124
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Mailing Address
-- LINDA BONGO LADC
PO BOX 173
BELGRADE, MN 56312-0173
Phone number: 320-441-9954
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