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1326462490
SHANNON LYNN GULLINGSRUD
FARGO, ND
NPI
1326462490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: ND 35013)
Enumeration Date
2014-02-10
Last Update Date
2017-08-22
Business Address
-- SHANNON LYNN GULLINGSRUD PA-C
3000 32ND AVE S
FARGO, ND 58103-6132
Phone number: 701-364-8000
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Mailing Address
-- SHANNON LYNN GULLINGSRUD PA-C
1702 UNIVERSITY DR S
FARGO, ND 58103-4940
Phone number:
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