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Individual

SHIRLEY LEE BEBENSEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1430 HIGHWAY 96 EAST, HEALTHPARTNERS WHITE BEAR LAKE CLINIC, WHITE BEAR LAKE, MN 55110
(651) 426-1980
(651) 653-2111
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7961
(952) 883-5395

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0527392
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
403242000
MN
Enumeration date
02/17/2006
Last updated
02/20/2009
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