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1417504218
ANGUS C RAYMOND
SPENCER, IA
NPI
1417504218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA t19040)
Enumeration Date
2019-08-26
Last Update Date
2021-09-20
Business Address
ANGUS C RAYMOND CADC
201 E 11TH ST
SPENCER, IA 51301-4460
Phone number: 712-363-8499
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Mailing Address
ANGUS C RAYMOND CADC
201 E 11TH ST
SPENCER, IA 51301-4460
Phone number: 712-262-2922
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