OSCAR JULIUS DEBARDELEBEN

RED LAKE, MN
NPI1992423164
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
(Licence: FL  IMH20035)
Enumeration Date2022-08-15
Last Update Date2022-08-15
Business Address
MR. OSCAR JULIUS DEBARDELEBEN
24760 HOSPITAL DRIVE
RED LAKE, MN 56671
Phone number: 218-679-3912
Mailing Address
MR. OSCAR JULIUS DEBARDELEBEN
1220 30TH ST NW APT 220
BEMIDJI, MN 56601-4146
Phone number:
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