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1467039909
JAN ERIC NERUD
COLUMBIA, SC
NPI
1467039909
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 1469)
Enumeration Date
2021-03-29
Last Update Date
2021-03-29
Business Address
JAN ERIC NERUD CADC-I
1421 BLUFF RD
COLUMBIA, SC 29201-4809
Phone number: 803-733-5855
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Mailing Address
JAN ERIC NERUD CADC-I
238 RIVER CREEK DR
IRMO, SC 29063-8300
Phone number: 404-907-7184
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