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1508912288
BRUCE L CARLSON
BISMARCK, ND
NPI
1508912288
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND 1279)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
-- BRUCE L CARLSON LAC
101 E BROADWAY AVE
BISMARCK, ND 58501
Phone number: 701-222-0386
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Mailing Address
-- BRUCE L CARLSON LAC
101 E BROADWAY AVE
BISMARCK, ND 58501
Phone number: 701-222-0386
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