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1871245027
CHAI MOUA
EAU CLAIRE, WI
NPI
1871245027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
CHAI MOUA
4701 RUDOLPH RD
EAU CLAIRE, WI 54701-7953
Phone number: 715-590-2360
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Mailing Address
CHAI MOUA
4701 RUDOLPH RD
EAU CLAIRE, WI 54701-7953
Phone number: 715-590-2360
Copy
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