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1396218103
KIRK FJELLMAN
STILLWATER, MN
NPI
1396218103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 301765)
Enumeration Date
2019-01-03
Last Update Date
2019-01-03
Business Address
KIRK FJELLMAN
1825 CURVE CREST BLVD W STE 103
STILLWATER, MN 55082-6054
Phone number: 612-326-7600
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Mailing Address
KIRK FJELLMAN
550 MAIN ST
NEW BRIGHTON, MN 55112-3271
Phone number: 612-326-7600
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