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1730638644
JORY COLEGROVE
MINNEAPOLIS, MN
NPI
1730638644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304459)
Enumeration Date
2016-10-04
Last Update Date
2016-10-04
Business Address
Mr. JORY COLEGROVE MA LADC
1132 CENTRAL AVE NE
MINNEAPOLIS, MN 55413-1512
Phone number: 612-902-5928
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Mailing Address
Mr. JORY COLEGROVE MA LADC
1132 CENTRAL AVE NE
MINNEAPOLIS, MN 55413
Phone number: 612-902-5928
Copy
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