SHANE EDWARD MCCOMAS

PARK RAPIDS, MN
NPI1407297393
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MN  A1065)
Enumeration Date2013-07-09
Last Update Date2013-07-09
Business Address
-- SHANE EDWARD MCCOMAS
200 MAIN AVE S
PARK RAPIDS, MN 56470-1518
Phone number: 218-732-0868
Mailing Address
-- SHANE EDWARD MCCOMAS
200 MAIN AVE S
PARK RAPIDS, MN 56470-1518
Phone number: 218-732-0868
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