GARY LEE AMBROSE

SIOUX FALLS, SD
NPI1780125310
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SD  7589)
Enumeration Date2017-03-15
Last Update Date2017-03-15
Business Address
-- GARY LEE AMBROSE
2412 S CLIFF AVE
SIOUX FALLS, SD 57105-4031
Phone number: 605-322-4079
Mailing Address
-- GARY LEE AMBROSE
2412 S CLIFF AVE
SIOUX FALLS, SD 57105-4031
Phone number: 605-322-4079
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