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1063491256
EDWARD REECE SHAMAN
ALBERT LEA, MN
NPI
1063491256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 30733)
Enumeration Date
2006-01-16
Last Update Date
2007-07-08
Business Address
EDWARD REECE SHAMAN M.D.
404 W FOUNTAIN ST
ALBERT LEA, MN 56007-2437
Phone number: 507-373-2384
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Mailing Address
EDWARD REECE SHAMAN M.D.
106 RIDGE RD
ALBERT LEA, MN 56007-1439
Phone number:
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