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1750606984
SHANA KATHLYN KONGSJORD
DEER RIVER, MN
NPI
1750606984
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Former Name
SHANA KATHLYN FIDELDY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MN R179908-0)
Enumeration Date
2010-03-31
Last Update Date
2011-04-29
Business Address
-- SHANA KATHLYN KONGSJORD CNP
1025 10TH AVE NE DULUTH CLINIC DEER RIVER
DEER RIVER, MN 56636-8703
Phone number: 218-246-8275
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Mailing Address
-- SHANA KATHLYN KONGSJORD CNP
1025 10TH AVE NE DULUTH CLINIC DEER RIVER
DEER RIVER, MN 56636-8703
Phone number: 218-246-8275
Copy
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