RANDALL LEE

MINOT, ND
NPI1568922490
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ND  1815)
Enumeration Date2019-03-25
Last Update Date2019-03-25
Business Address
RANDALL LEE LAC
6301 19TH AVE NW
MINOT, ND 58703-8899
Phone number: 701-852-3628
Mailing Address
RANDALL LEE LAC
PO BOX 5007
MINOT, ND 58702-5007
Phone number: 701-852-3628
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