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1922102003
ERIC LEROY SANDERS
FRIDLEY, MN
NPI
1922102003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301705)
Enumeration Date
2006-09-11
Last Update Date
2007-07-08
Business Address
Mr. ERIC LEROY SANDERS BCC, LADC
550 OSBORNE RD NE
FRIDLEY, MN 55432-2718
Phone number: 763-236-4569
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Mailing Address
Mr. ERIC LEROY SANDERS BCC, LADC
545 ROSEDALE RD NE
SPRING LAKE PARK, MN 55432-1933
Phone number: 763-236-4569
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