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1942913538
JACK BURK
CENTERVILLE, MN
NPI
1942913538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-12-29
Last Update Date
2022-12-29
Business Address
JACK BURK
7041 20TH AVE
CENTERVILLE, MN 55038-9737
Phone number: 612-924-3807
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Mailing Address
JACK BURK
3808 HEATHER DR
EAGAN, MN 55122-1623
Phone number: 952-652-1693
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