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1104503382
SHAYNA MELLESMOEN
BLOOMINGTON, MN
NPI
1104503382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 3883)
Enumeration Date
2023-06-29
Last Update Date
2023-06-29
Business Address
SHAYNA MELLESMOEN OD
9117 LYNDALE AVE S
BLOOMINGTON, MN 55420-3522
Phone number: 952-835-1235
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Mailing Address
SHAYNA MELLESMOEN OD
8115 2ND AVE S
BLOOMINGTON, MN 55420-1211
Phone number: 952-686-4553
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