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1295255537
PAUL JOSEPH MCCORMICK
BRAINERD, MN
NPI
1295255537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304839)
Enumeration Date
2017-06-27
Last Update Date
2017-06-27
Business Address
PAUL JOSEPH MCCORMICK
823 MAPLE ST
BRAINERD, MN 56401-3770
Phone number: 218-454-3828
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Mailing Address
PAUL JOSEPH MCCORMICK
27416 COUNTY ROAD 36
AITKIN, MN 56431-6042
Phone number:
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