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1528520525
MINDY JO DAVIDSON
OTTUMWA, IA
NPI
1528520525
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-04-01
Last Update Date
2019-04-01
Business Address
MINDY JO DAVIDSON CADC
102 N HANCOCK ST
OTTUMWA, IA 52501-4648
Phone number: 641-622-2800
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Mailing Address
MINDY JO DAVIDSON CADC
102 N HANCOCK ST
OTTUMWA, IA 52501-4648
Phone number: 641-622-2800
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