Individual
SHYLENE DUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-7571
Mailing address
633 ONTARIO ST SE, APT 203, MINNEAPOLIS, MN 55414-3003
(612) 597-3394
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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