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1851393649
SHANON L KJELSTAD
COON RAPIDS, MN
NPI
1851393649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN R 125106-5)
Enumeration Date
2005-08-11
Last Update Date
2008-05-15
Business Address
-- SHANON L KJELSTAD CRNA
8990 SPRINGBROOK DR NW
COON RAPIDS, MN 55433-5884
Phone number: 763-398-0099
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Mailing Address
-- SHANON L KJELSTAD CRNA
17241 PARTRIDGE ST NW
ANDOVER, MN 55304-1453
Phone number:
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