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1528107844
BRENDA LEA MINER
GRAND ISLAND, NE
NPI
1528107844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE 057)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
-- BRENDA LEA MINER LADC
2116 W. FAIDLEY AVE.
GRAND ISLAND, NE 68803
Phone number: 308-398-5435
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Mailing Address
-- BRENDA LEA MINER LADC
1430 N NORTH RD
GRAND ISLAND, NE 68803-2935
Phone number: 308-398-5435
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