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1609498666
SHELBY EDEVOLD
COON RAPIDS, MN
NPI
1609498666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-05-13
Last Update Date
2020-05-13
Business Address
SHELBY EDEVOLD
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433-2638
Phone number: 763-767-3350
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Mailing Address
SHELBY EDEVOLD
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433-2638
Phone number:
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