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1740337773
SHANNON BORER
SAINT CLOUD, MN
NPI
1740337773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MN 10152)
Enumeration Date
2007-01-04
Last Update Date
2011-11-14
Business Address
-- SHANNON BORER PA-C
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-255-6480
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Mailing Address
-- SHANNON BORER PA-C
4801 VETERANS DR
SAINT CLOUD, MN 56303-2015
Phone number: 320-255-6480
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