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1497507925
ANTONIO BOONE
NEW BRIGHTON, MN
NPI
1497507925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-04-05
Last Update Date
2024-04-05
Business Address
ANTONIO BOONE LADC
1900 SILVER LAKE RD NW STE 210
NEW BRIGHTON, MN 55112-1786
Phone number: 651-384-2549
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Mailing Address
ANTONIO BOONE LADC
1037 VAN BUREN AVE
SAINT PAUL, MN 55104-2126
Phone number: 612-701-8234
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