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1831268812
EDWARD C MODAHL
ALEXANDRIA, MN
NPI
1831268812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MN LP0834)
Enumeration Date
2006-11-06
Last Update Date
2024-05-06
Business Address
Mr. EDWARD C MODAHL MS Ed LP
324 BROADWAY ST STE 206
ALEXANDRIA, MN 56308-1482
Phone number: 320-762-1762
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Mailing Address
Mr. EDWARD C MODAHL MS Ed LP
604 WINTER GREEN
ALEXANDRIA, MN 56308
Phone number: 320-808-9310
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