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Individual

JOHN SHEAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2800 CLEVELAND AVE N, ROSEVILLE, MN 55113-1126
(651) 642-1825
Mailing address
10995 OAK GROVE CIR, UNIT D, WOODBURY, MN 55129-8726

Taxonomy

Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
2165
MN
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
2716
WI

Other

Enumeration date
02/14/2007
Last updated
07/08/2007
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