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1831519081
KENTON NEU
ROCHESTER, MN
NPI
1831519081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN 303685)
Enumeration Date
2014-04-25
Last Update Date
2014-04-25
Business Address
KENTON NEU LADC, BCC
1530 ASSISI DR NW
ROCHESTER, MN 55901-1637
Phone number: 507-218-3459
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Mailing Address
KENTON NEU LADC, BCC
1530 ASSISI DR NW
ROCHESTER, MN 55901-1637
Phone number: 507-218-3459
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