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1245647940
KATIE PYLKAS-BLUE
BURNSVILLE, MN
NPI
1245647940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN R165579-7)
Enumeration Date
2014-07-15
Last Update Date
2014-07-15
Business Address
-- KATIE PYLKAS-BLUE RN
13005 COUNTY ROAD 5
BURNSVILLE, MN 55337-2226
Phone number: 651-249-5672
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Mailing Address
-- KATIE PYLKAS-BLUE RN
2414 E 117TH ST
BURNSVILLE, MN 55337-1269
Phone number: 651-249-5672
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