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1417986324
TERRA SHOCKMAN
SAINT PAUL, MN
NPI
1417986324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 46860)
Enumeration Date
2006-07-02
Last Update Date
2007-07-08
Business Address
-- TERRA SHOCKMAN MD
1983 SLOAN PL SUITE 1
SAINT PAUL, MN 55117-2087
Phone number: 651-326-5700
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Mailing Address
-- TERRA SHOCKMAN MD
1292 VICTORIA ST N
SAINT PAUL, MN 55117-4035
Phone number: 612-616-3576
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