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1558824490
ROBERT DAVID ANDREWS-MENDOZA
MAPLE GROVE, MN
NPI
1558824490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 305422)
Enumeration Date
2019-04-08
Last Update Date
2021-04-21
Business Address
ROBERT DAVID ANDREWS-MENDOZA LADC
11901 CENTRAL PARK WAY UNIT 2327
MAPLE GROVE, MN 55369-2664
Phone number: 612-701-3084
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Mailing Address
ROBERT DAVID ANDREWS-MENDOZA LADC
11901 CENTRAL PARK WAY UNIT 2327
MAPLE GROVE, MN 55369-2664
Phone number: 612-701-3084
Copy
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