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| Name | Modahl Edward C & Modahl Roxanne M |
| License Number | 234703 |
| ServiceClass | Child Fstr Care |
| Address | 604 Wintergreen NW |
| City | Alexandria |
| State | MN |
| Zip | 56308 |
| Phone | 320-762-8359 |
| County | Douglas |
| Capacity | 4 |
| License Holder | Edward Carl Modahl |
| Initial Effective Date | 12/28/1998 |
| Current Effective Date | 12/01/2008 |
| Expiration Date | 12/01/2010 |
| License Type | Foster Family |
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