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1952428047
DAVID R MACMASTER
BARABOO, WI
NPI
1952428047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 1977)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- DAVID R MACMASTER
707 14TH ST
BARABOO, WI 53913-1539
Phone number: 608-356-1533
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Mailing Address
-- DAVID R MACMASTER
707 14TH ST
BARABOO, WI 53913-1539
Phone number: 608-356-1533
Copy
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