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1568848331
SHANNON LEE HOVERSTEN
ST LOUIS PARK, MN
NPI
1568848331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN F07151393)
Enumeration Date
2015-08-04
Last Update Date
2015-08-04
Business Address
-- SHANNON LEE HOVERSTEN NP
3931 LOUISIANA AVE S
ST LOUIS PARK, MN 55426-5000
Phone number: 952-993-3200
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Mailing Address
-- SHANNON LEE HOVERSTEN NP
1678 CHATEAU AVE
SHAKOPEE, MN 55379-3389
Phone number: 952-997-7754
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