Individual
SHIRLEY TURNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 68TH AVE NE, FRIDLEY, MN 55432-4752
(763) 571-9307
(763) 571-5468
Mailing address
1617 68TH AVE NE, FRIDLEY, MN 55432-4752
(763) 571-9307
(763) 571-5468
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
W723264533812
MN
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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