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1811545270
SHANA SUSANNE DECKARD
MINNEAPOLIS, MN
NPI
1811545270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: MN R163460-8)
Enumeration Date
2019-08-29
Last Update Date
2019-08-29
Business Address
SHANA SUSANNE DECKARD RN
1 VETERANS DR
MINNEAPOLIS, MN 55417-2309
Phone number: 612-467-4112
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Mailing Address
SHANA SUSANNE DECKARD RN
18949 114TH ST SE
BIG LAKE, MN 55309-4627
Phone number:
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