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1962068643
JOSHUA ERIC MACOMBER
MINNEAPOLIS, MN
NPI
1962068643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305344)
Enumeration Date
2019-05-17
Last Update Date
2019-05-17
Business Address
Mr. JOSHUA ERIC MACOMBER LADC
2419 NICOLLET AVE
MINNEAPOLIS, MN 55404-3450
Phone number: 612-708-6268
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Mailing Address
Mr. JOSHUA ERIC MACOMBER LADC
821 E 22ND ST
MINNEAPOLIS, MN 55404-2810
Phone number: 612-708-6268
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