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1992680615
SHANNON TABAKA
ZIMMERMAN, MN
NPI
1992680615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
177F00000X Lodging
(Licence: MN FBL4413164383)
Enumeration Date
2025-08-11
Last Update Date
2025-08-11
Business Address
SHANNON TABAKA SW
12714 FREMONT AVE
ZIMMERMAN, MN 55398-9406
Phone number: 763-732-2065
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Mailing Address
SHANNON TABAKA SW
6314 CEDAR RD
OAK PARK, MN 56357-8529
Phone number: 763-732-2065
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