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1841340601
MITCHELL JAT MOORE
ROCHESTER, MN
NPI
1841340601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 300769)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Mr. MITCHELL JAT MOORE LADC
923 N BROADWAY
ROCHESTER, MN 55906-6843
Phone number: 507-281-6223
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Mailing Address
Mr. MITCHELL JAT MOORE LADC
614 WOODDALE CT NW
ROCHESTER, MN 55901-2472
Phone number: 507-282-6075
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