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1447290374
ROBERT E MCMANIMON MOE
WINONA, MN
NPI
1447290374
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Former Name
ROBERT EDWARD MOE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN ADC-T)
Enumeration Date
2006-06-08
Last Update Date
2009-10-05
Business Address
MR. ROBERT E MCMANIMON MOE BS, ADC-T
131 HARRIET ST
WINONA, MN 55987-3177
Phone number: 507-454-2839
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Mailing Address
MR. ROBERT E MCMANIMON MOE BS, ADC-T
131 HARRIET ST
WINONA, MN 55987-3177
Phone number: 507-454-2839
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