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1861583379
SHANNON MAIXNER
MAHTOMEDI, MN
NPI
1861583379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MN 4723)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2006-09-28
Last Update Date
2024-03-11
Business Address
SHANNON MAIXNER PT
688 WILDWOOD RD
MAHTOMEDI, MN 55115-1812
Phone number: 651-429-9947
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Mailing Address
SHANNON MAIXNER PT
688 WILDWOOD RD
MAHTOMEDI, MN 55115-1812
Phone number:
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