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1457349599
DOUGLAS GEORGE SHAMP
MAPLE GROVE, MN
NPI
1457349599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN 9126)
Enumeration Date
2005-10-12
Last Update Date
2007-07-08
Business Address
-- DOUGLAS GEORGE SHAMP D.D.S
7270 FORESTVIEW LN N #250
MAPLE GROVE, MN 55369-5546
Phone number: 763-424-9202
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Mailing Address
-- DOUGLAS GEORGE SHAMP D.D.S
7270 FORESTVIEW LN N
MAPLE GROVE, MN 55369-5605
Phone number: 763-424-9202
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