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1063764900
SHANA BANAS
LINO LAKES, MN
NPI
1063764900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MN 9015)
Enumeration Date
2012-10-02
Last Update Date
2012-10-02
Business Address
-- SHANA BANAS SLP
6776 LAKE DR 220
LINO LAKES, MN 55014-1191
Phone number: 651-784-7007
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Mailing Address
-- SHANA BANAS SLP
6776 LAKE DR 220
LINO LAKES, MN 55014-1191
Phone number: 651-784-7007
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