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1699979195
SHANNON DURICK
CHASKA, MN
NPI
1699979195
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Former Name
SHANNON JOHNSTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MN 6366)
Enumeration Date
2007-06-11
Last Update Date
2007-07-08
Business Address
-- SHANNON DURICK MS, CCC-SLP
1661 PARK RIDGE DR
CHASKA, MN 55318-2841
Phone number: 952-403-3980
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Mailing Address
-- SHANNON DURICK MS, CCC-SLP
427 2ND ST SW
DELANO, MN 55328-2823
Phone number: 763-390-0369
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