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1811190226
TRISHA RANEE SHAMP
MINNEAPOLIS, MN
NPI
1811190226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MN 9508)
Enumeration Date
2007-06-06
Last Update Date
2008-12-29
Business Address
-- TRISHA RANEE SHAMP PA-C, PhD
3366 OAKDALE AVE N SUITE 605
MINNEAPOLIS, MN 55422-2948
Phone number: 763-520-2940
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Mailing Address
-- TRISHA RANEE SHAMP PA-C, PhD
18300 TYLER ST NW
ELK RIVER, MN 55330-4529
Phone number: 612-801-1375
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