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1346435740
KONSTANTIN V. SHATSKIKH
OWATONNA, MN
NPI
1346435740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 10312)
Enumeration Date
2007-09-09
Last Update Date
2020-09-29
Business Address
Mr. KONSTANTIN V. SHATSKIKH PA-C
2200 NW 26TH ST
OWATONNA, MN 55060
Phone number: 504-451-1120
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Mailing Address
Mr. KONSTANTIN V. SHATSKIKH PA-C
2200 NW 26TH ST
OWATONNA, MN 55060-5503
Phone number: 504-451-1120
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