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1295983955
TRACY LYNN SHUPE
CHANHASSEN, MN
NPI
1295983955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 4590)
Enumeration Date
2008-09-05
Last Update Date
2008-09-05
Business Address
-- TRACY LYNN SHUPE P.T.
480 W 78TH ST
CHANHASSEN, MN 55317-4527
Phone number: 952-906-7880
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Mailing Address
-- TRACY LYNN SHUPE P.T.
480 W 78TH ST
CHANHASSEN, MN 55317-4527
Phone number: 952-906-7880
Copy
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