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1639371453
JOHN STEPHEN GROVE
BISMARCK, ND
NPI
1639371453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND LAC1040)
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
Mr. JOHN STEPHEN GROVE LAC
1138 SUMMIT BLVD
BISMARCK, ND 58504-5280
Phone number: 701-224-1261
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Mailing Address
Mr. JOHN STEPHEN GROVE LAC
1138 SUMMIT BLVD
BISMARCK, ND 58504-5280
Phone number: 701-224-1261
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