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1881364008
JOHN AMBROSE
COON RAPIDS, MN
NPI
1881364008
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304566)
Enumeration Date
2021-09-18
Last Update Date
2021-09-18
Business Address
JOHN AMBROSE
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433-2638
Phone number: 612-562-6790
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Mailing Address
JOHN AMBROSE
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433-2638
Phone number: 612-562-6790
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