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1396337416
ETHAN T URTEL
LAKEVILLE, MN
NPI
1396337416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
ETHAN T URTEL
8670 210TH ST W
LAKEVILLE, MN 55044-7000
Phone number: 180-043-8177
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Mailing Address
ETHAN T URTEL
W175N11120 STONEWOOD DR
GERMANTOWN, WI 53022-4799
Phone number: 888-685-9522
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