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1568650778
ROBERT WAYNE ODEGAARD
WOODBURY, MN
NPI
1568650778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 301997)
Enumeration Date
2007-10-12
Last Update Date
2007-10-12
Business Address
ROBERT WAYNE ODEGAARD LADC
7616 CURRELL BLVD
WOODBURY, MN 55125-2290
Phone number: 651-259-9750
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Mailing Address
ROBERT WAYNE ODEGAARD LADC
7616 CURRELL BLVD
WOODBURY, MN 55125-2290
Phone number: 651-259-9750
Copy
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