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1548322886
KATHERINE ANN OMLID
SAINT CLOUD, MN
NPI
1548322886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 302291)
Enumeration Date
2006-12-14
Last Update Date
2011-09-13
Business Address
KATHERINE ANN OMLID LADC
1321 13TH ST N
SAINT CLOUD, MN 56303-2613
Phone number: 320-202-2006
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Mailing Address
KATHERINE ANN OMLID LADC
1321 13TH ST N
SAINT CLOUD, MN 56303-2614
Phone number: 320-202-2006
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