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1881230134
GREGORY JOHN ROBERTSON
SAINT PAUL, MN
NPI
1881230134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 300291)
Enumeration Date
2019-11-21
Last Update Date
2019-11-21
Business Address
GREGORY JOHN ROBERTSON LADC
1380 ENERGY LN STE 203
SAINT PAUL, MN 55108-5253
Phone number: 651-210-5287
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Mailing Address
GREGORY JOHN ROBERTSON LADC
6969 VALLEY CREEK ROAD 220
WOODBURY, MN 55125
Phone number: 651-210-5287
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