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1497886758
JUANITA NELSON
KALISPELL, MT
NPI
1497886758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MT 829)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
Mrs. JUANITA NELSON LAC
1312 N MERIDIAN RD
KALISPELL, MT 59901-3095
Phone number: 406-756-6453
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Mailing Address
Mrs. JUANITA NELSON LAC
1312 NORTH MERIDIAN
KALISPELL, MT 59904-0115
Phone number: 406-756-6453
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