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Individual

SHELLY RENEA FROHRIP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1610 CLOQUET AVE, CLOQUET, MN 55720-1948
(218) 878-1364
Mailing address
1610 CLOQUET AVE, CLOQUET, MN 55720-1948
(218) 878-1364

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
16117
MN

Other

Enumeration date
11/14/2007
Last updated
11/14/2007
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