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1659707834
MICHAEL YOUNGBLOOD KONKLE
FRESNO, CA
NPI
1659707834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-09-19
Last Update Date
2013-09-19
Business Address
-- MICHAEL YOUNGBLOOD KONKLE
2772 SOUTH MARTIN LUTHER KING BLVD
FRESNO, CA 93706
Phone number: 559-265-4800
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Mailing Address
-- MICHAEL YOUNGBLOOD KONKLE
11894 CHARLTON RD
MADERA, CA 93636-8637
Phone number: 559-645-4316
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