Individual
JASON SHAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6363 FRANCE AVE S STE 100, EDINA, MN 55435-2139
(952) 924-1340
Mailing address
950 ALYSHEBA RD APT 234, SHAKOPEE, MN 55379-5010
(507) 276-1656
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
04/28/2018
Last updated
04/28/2018
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