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1467115261
JOHN MICHAEL BRANDL
MANKATO, MN
NPI
1467115261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305662)
Enumeration Date
2021-10-19
Last Update Date
2021-10-19
Business Address
JOHN MICHAEL BRANDL
802 S FRONT ST
MANKATO, MN 56001-2401
Phone number: 507-295-4914
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Mailing Address
JOHN MICHAEL BRANDL
802 S FRONT ST
MANKATO, MN 56001-2401
Phone number: 507-295-4914
Copy
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