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Individual

DR. CARLOS DAMIAN SHANKS VAZQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
655 NICOLLET MALL, MINNEAPOLIS, MN 55402-1604
(612) 339-0363
Mailing address
655 NICOLLET MALL, MINNEAPOLIS, MN 55402-1604
(612) 339-0363

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125491
MN

Other

Enumeration date
12/30/2021
Last updated
12/30/2021
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