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1578526968
SHANNON BECKER DOLEZAL
MINNEAPOLIS, MN
NPI
1578526968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-04-08
Last Update Date
2021-07-26
Business Address
Mrs. SHANNON BECKER DOLEZAL MA, ATC, CSCS
3949 15TH AVE S
MINNEAPOLIS, MN 55407-2742
Phone number: 706-206-2639
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Mailing Address
Mrs. SHANNON BECKER DOLEZAL MA, ATC, CSCS
3949 15TH AVE S # 55
MINNEAPOLIS, MN 55407-2742
Phone number: 706-206-2639
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