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1427423987
TROY DELBERT HEAGLE
BRAINERD, MN
NPI
1427423987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303003)
Enumeration Date
2015-12-09
Last Update Date
2018-04-18
Business Address
Mr. TROY DELBERT HEAGLE LADC
2215 S 6TH ST
BRAINERD, MN 56401-5549
Phone number: 218-454-3263
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Mailing Address
Mr. TROY DELBERT HEAGLE LADC
2215 S 6TH ST
BRAINERD, MN 56401-5549
Phone number: 218-454-3263
Copy
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