SHELLY LYNN LARSON

SAINT PAUL, MN
NPI1982690145
Former NameSHELLY LYNN BERGH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  9815)
Enumeration Date2005-09-23
Last Update Date2012-05-14
Business Address
Mrs. SHELLY LYNN LARSON PA-C
4480 CENTERVILLE RD
SAINT PAUL, MN 55127-3674
Phone number: 651-484-2724
Mailing Address
Mrs. SHELLY LYNN LARSON PA-C
4480 CENTERVILLE RD
SAINT PAUL, MN 55127-3674
Phone number: 651-484-2724
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