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1053797936
SHANNON CHRISTIAN SHAW
BAXTER, MN
NPI
1053797936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN 2134165)
Enumeration Date
2015-08-03
Last Update Date
2016-01-15
Business Address
Mrs. SHANNON CHRISTIAN SHAW FNP
13060 ISLE DR
BAXTER, MN 56425-8331
Phone number: 512-981-8445
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Mailing Address
Mrs. SHANNON CHRISTIAN SHAW FNP
523 N 3RD ST
BRAINERD, MN 56401-3054
Phone number: 218-829-2861
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