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1962598292
EDWIN JADE MAKI
FRIDLEY, MN
NPI
1962598292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301815)
Enumeration Date
2006-10-05
Last Update Date
2007-07-08
Business Address
Mr. EDWIN JADE MAKI LADC BA
7590 LYRIC LANE NE UNITY HOSPITAL
FRIDLEY, MN 55432
Phone number: 763-236-9300
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Mailing Address
Mr. EDWIN JADE MAKI LADC BA
5603 HALIFAX AVE NORTH
BROOKLY LEMEN, MN 55429
Phone number: 763-536-8787
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