Individual
TOU SU TAYLOR KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 BATTLE CREEK PL, SAINT PAUL, MN 55119-4909
(651) 263-2866
Mailing address
33 BATTLE CREEK PL, SAINT PAUL, MN 55119-4909
(651) 263-2866
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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