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1659079432
JOHN SAMUEL MILLER
GRAND RAPIDS, MN
NPI
1659079432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305001)
Enumeration Date
2023-02-21
Last Update Date
2023-02-21
Business Address
JOHN SAMUEL MILLER LADC
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744-4201
Phone number: 218-256-0841
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Mailing Address
JOHN SAMUEL MILLER LADC
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744-4201
Phone number: 218-256-0841
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