ORVILLE S MANDAN

FARGO, ND
NPI1710150099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND  1409)
Enumeration Date2008-04-08
Last Update Date2008-04-08
Business Address
-- ORVILLE S MANDAN LAC
4227 9TH AVE SW
FARGO, ND 58103-2018
Phone number: 701-282-6561
Mailing Address
-- ORVILLE S MANDAN LAC
4227 9TH AVE SW
FARGO, ND 58103-2018
Phone number: 701-282-6561
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