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1336658533
JERIS JEAN VAIDA
VIRGINIA, MN
NPI
1336658533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 304245)
Enumeration Date
2017-09-20
Last Update Date
2022-07-21
Business Address
MISS JERIS JEAN VAIDA
505 S 12TH AVE W
VIRGINIA, MN 55792-3099
Phone number: 218-749-2877
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Mailing Address
MISS JERIS JEAN VAIDA
505 S 12TH AVE W
VIRGINIA, MN 55792-3099
Phone number: 218-749-2877
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