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1518175025
J. GABRIEL MYDLAND
BROOKINGS, SD
NPI
1518175025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: SD 1057)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
DR. J. GABRIEL MYDLAND EDD LPC
928 4TH ST SUITE 6
BROOKINGS, SD 57006-2171
Phone number: 605-691-0463
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Mailing Address
DR. J. GABRIEL MYDLAND EDD LPC
120 22ND AVE S PMB 179
BROOKINGS, SD 57006
Phone number: 605-691-0463
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