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1184768137
CASSANDARA M SHOCKLEY
MINNETONKA, MN
NPI
1184768137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 097006513N1)
Enumeration Date
2007-02-16
Last Update Date
2020-08-18
Business Address
Mrs. CASSANDARA M SHOCKLEY APRN, BC
9900 BREN ROAD EAST MAIL ROUTE MN 008-B213
MINNETONKA, MN 55343
Phone number: 541-405-3646
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Mailing Address
Mrs. CASSANDARA M SHOCKLEY APRN, BC
40580 MOHAWK RIVER RD
MARCOLA, OR 97454-9709
Phone number: 541-405-3646
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