JACK KING

DULUTH, MN
NPI1649811902
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MN  7926)
Enumeration Date2019-10-07
Last Update Date2019-10-07
Business Address
JACK KING
2501 RICE LAKE RD
DULUTH, MN 55811-4819
Phone number: 218-625-6400
Mailing Address
JACK KING
810 1ST ST
PROCTOR, MN 55810-2705
Phone number: 218-341-5513