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Angelique King
NPI 1003558727 · on the registry since 2022
Practice
- Address
- 9201 Old Cedar Ave S
Bloomington, MN 55425 - Phone
- (952) 854-1800
- Fax
- (952) 854-5502
- Organisation at this address
- Northway Academy, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 76
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-04-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota