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1003222597
SHANNON N SIEKAS
BAXTER, MN
NPI
1003222597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 179217-1)
Enumeration Date
2014-07-07
Last Update Date
2016-01-15
Business Address
-- SHANNON N SIEKAS
13060 ISLE DR
BAXTER, MN 56425-8331
Phone number: 218-828-2880
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Mailing Address
-- SHANNON N SIEKAS
523 N 3RD ST
BRAINERD, MN 56401-3054
Phone number: 218-828-2880
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