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1750610754
LAURA L LONGVILLE
RAPID CITY, SD
NPI
1750610754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-12-22
Last Update Date
2009-12-22
Business Address
Prof. LAURA L LONGVILLE CCDC II
350 ELK ST
RAPID CITY, SD 57701-7351
Phone number: 605-343-7262
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Mailing Address
Prof. LAURA L LONGVILLE CCDC II
350 ELK ST
RAPID CITY, SD 57701-7351
Phone number: 605-343-7262
Copy
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