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1598950792
DAVID BRUCE SJOSTROM
BEMIDJI, MN
NPI
1598950792
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301521)
Enumeration Date
2007-09-11
Last Update Date
2007-09-11
Business Address
Mr. DAVID BRUCE SJOSTROM B.A., LADC
1510 BEMIDJI AVE N STE 13
BEMIDJI, MN 56601-3800
Phone number: 218-444-5740
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Mailing Address
Mr. DAVID BRUCE SJOSTROM B.A., LADC
1510 BEMIDJI AVE N STE 13
BEMIDJI, MN 56601-3804
Phone number: 218-444-5740
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