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1336333509
SHELLY LEA LARSON-PETERS
BLAINE, MN
NPI
1336333509
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Former Name
SHELLY LEA LARSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MN 50897)
Enumeration Date
2007-08-30
Last Update Date
2023-07-30
Business Address
Dr. SHELLY LEA LARSON-PETERS M.D.
11091 ULYSSES ST SUITE 100
BLAINE, MN 55434-4238
Phone number: 612-879-1000
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Mailing Address
Dr. SHELLY LEA LARSON-PETERS M.D.
3601 MINNESOTA DR STE 200
BLOOMINGTON, MN 55435-5281
Phone number: 612-879-1000
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