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1407210784
DANIELA ALEJANDRA BONILLA BERMUDEZ
ST LOUIS PARK, MN
NPI
1407210784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304119)
Enumeration Date
2016-04-12
Last Update Date
2016-04-12
Business Address
-- DANIELA ALEJANDRA BONILLA BERMUDEZ LADC
6200 EXCELSIOR BLVD STE 203
ST LOUIS PARK, MN 55416-2734
Phone number: 952-548-9354
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Mailing Address
-- DANIELA ALEJANDRA BONILLA BERMUDEZ LADC
6200 EXCELSIOR BLVD STE 203
ST LOUIS PARK, MN 55416-2734
Phone number: 952-548-9354
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