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1881764876
SHANNON MARIE RISTAU
SAINT PAUL, MN
NPI
1881764876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
-- SHANNON MARIE RISTAU
2115 SUMMIT AVE LORAS HALL 406
SAINT PAUL, MN 55105-1048
Phone number: 503-396-2896
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Mailing Address
-- SHANNON MARIE RISTAU
1776 SAINT CLAIR AVE APT #407
SAINT PAUL, MN 55105-1962
Phone number: 651-690-0177
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