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Individual

MYLES RONALD ZAYIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
2360 N BROADWAY, ROCHESTER, MN 55906-4065
(507) 282-0142
(507) 282-6261
Mailing address
2115 23RD ST NW, ROCHESTER, MN 55901-0647
(507) 923-9285

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
307052
MN

Other

Enumeration date
06/18/2024
Last updated
06/18/2024
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