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Individual

JAMES CONTOIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6120 EARLE BROWN DRIVE, SUITE 100, BROOKLYN CENTER, MN 55430
(763) 277-1046
Mailing address
5384 5TH ST NE, FRIDLEY, MN 55421
(763) 572-0009

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
20355
MN

Other

Enumeration date
03/09/2017
Last updated
03/09/2017
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