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1689002123
KIMBERLY JANE HAWKINS-PANKRATZ
BAXTER, MN
NPI
1689002123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 303572)
Enumeration Date
2013-10-18
Last Update Date
2013-10-18
Business Address
-- KIMBERLY JANE HAWKINS-PANKRATZ L.A.D.C
13021 EVERGREEN DR
BAXTER, MN 56425-7439
Phone number: 218-829-9307
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Mailing Address
-- KIMBERLY JANE HAWKINS-PANKRATZ L.A.D.C
26864 NORWAY LN
CROSBY, MN 56441-2356
Phone number: 218-330-0785
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