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1639883200
CONNOR KING
NEW BRIGHTON, MN
NPI
1639883200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 2808)
Enumeration Date
2023-01-09
Last Update Date
2023-01-09
Business Address
CONNOR KING BS, ADC-T
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-628-9566
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Mailing Address
CONNOR KING BS, ADC-T
1329 POHL RD APT 2
MANKATO, MN 56001-6190
Phone number: 507-440-8783
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