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1508205170
RALPH BLANE CAMPBELL
EDINA, MN
NPI
1508205170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN CD 302697)
Enumeration Date
2013-06-17
Last Update Date
2013-06-17
Business Address
Mr. RALPH BLANE CAMPBELL LADC
6700 POINT DR
EDINA, MN 55435-1629
Phone number: 952-922-1476
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Mailing Address
Mr. RALPH BLANE CAMPBELL LADC
6700 POINT DR
EDINA, MN 55435-1629
Phone number: 952-922-1476
Copy
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