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1730618810
MARK ALLEN DEJONG
AMES, IA
NPI
1730618810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-06-12
Last Update Date
2022-07-21
Business Address
MARK ALLEN DEJONG
420 KELLOGG AVE
AMES, IA 50010-6226
Phone number: 515-233-3141
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Mailing Address
MARK ALLEN DEJONG
420 KELLOGG AVE
AMES, IA 50010
Phone number: 515-233-3141
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