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1285370122
KOOB PHONG LESANG
WOODBURY, MN
NPI
1285370122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: MN 3694)
Enumeration Date
2022-05-11
Last Update Date
2022-05-11
Business Address
KOOB PHONG LESANG LMFT
1811 WEIR DR STE 270
WOODBURY, MN 55125-6741
Phone number: 651-714-9646
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Mailing Address
KOOB PHONG LESANG LMFT
1789 HAWTHORNE AVE E
SAINT PAUL, MN 55119-4528
Phone number:
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