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ALEKSEY IGOREVICH SHAPOVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
14433 WOODBRIDGE LN, SAVAGE, MN 55378-2826
(952) 228-6176
Mailing address
14433 WOODBRIDGE LN, SAVAGE, MN 55378-2826
(952) 228-6176

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2471415
MN

Other

Enumeration date
02/26/2019
Last updated
04/24/2019
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