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Individual

SHAYNA MARIE LOVDAHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
824 N 11TH ST, MONTEVIDEO, MN 56265-1629
(320) 321-8422
Mailing address
824 N 11TH ST, MONTEVIDEO, MN 56265-1629
(320) 269-8877
(320) 321-8200

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10859
MN
363A00000X
Physician Assistant

Other

Enumeration date
12/02/2010
Last updated
10/19/2022
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