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1689804429
ANWAR SHAH HASSAN
ROCHESTER, MN
NPI
1689804429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 302644)
Enumeration Date
2009-07-14
Last Update Date
2009-07-14
Business Address
-- ANWAR SHAH HASSAN LADC
343 WOODLAKE DR SE
ROCHESTER, MN 55904-6242
Phone number: 507-289-2089
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Mailing Address
-- ANWAR SHAH HASSAN LADC
343 WOODLAKE DR SE
ROCHESTER, MN 55904-6242
Phone number: 507-535-5715
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