KELLY SHI THAO

SAINT PAUL, MN
NPI1588307441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-19
Last Update Date2022-04-19
Business Address
KELLY SHI THAO MD
1414 MARYLAND AVE E
SAINT PAUL, MN 55106-2824
Phone number: 651-772-3461
Mailing Address
KELLY SHI THAO MD
1414 MARYLAND AVE E
SAINT PAUL, MN 55106-2824
Phone number: 651-772-3461
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