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1366674723
JOSHUA J MAYNARD
FARGO, ND
NPI
1366674723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1601)
Enumeration Date
2009-08-19
Last Update Date
2009-08-19
Business Address
-- JOSHUA J MAYNARD LAC
4227 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-282-6561
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Mailing Address
-- JOSHUA J MAYNARD LAC
4227 9TH AVE S
FARGO, ND 58103-2018
Phone number: 701-282-6561
Copy
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