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1588227342
MARK ANTHONY COEN
VIRGINIA, MN
NPI
1588227342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303198)
Enumeration Date
2019-04-17
Last Update Date
2019-04-17
Business Address
MARK ANTHONY COEN LADC
505 S 12TH AVE W
VIRGINIA, MN 55792-3099
Phone number: 218-749-2877
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Mailing Address
MARK ANTHONY COEN LADC
2104 6TH AVE E
HIBBING, MN 55746-1821
Phone number: 218-231-2413
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