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1154494029
DEBRA LYNN SHAW
EDINA, MN
NPI
1154494029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R144120-2)
Enumeration Date
2006-11-16
Last Update Date
2021-03-11
Business Address
DEBRA LYNN SHAW NP
3400 WEST 66TH STREET SUITE 290
EDINA, MN 55435
Phone number: 952-914-1882
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Mailing Address
DEBRA LYNN SHAW NP
10973 233RD AVE NW
ELK RIVER, MN 55330
Phone number:
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