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1922573666
PHILLIP HUERTA
WINONA, MN
NPI
1922573666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 304385)
Enumeration Date
2018-10-09
Last Update Date
2018-10-09
Business Address
PHILLIP HUERTA LADC
855 MANKATO AVE
WINONA, MN 55987-4868
Phone number: 507-457-4447
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Mailing Address
PHILLIP HUERTA LADC
855 MANKATO AVE
WINONA, MN 55987-4868
Phone number: 507-457-4447
Copy
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