Individual
CALEB KWAKU DARKO GAMPSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1517 HIGHWAY 13 E, BURNSVILLE, MN 55337-2917
(612) 306-1977
Mailing address
1517 HIGHWAY 13 E, BURNSVILLE, MN 55337-2917
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
10/31/2024
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