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Individual

DR. SHANNON ANN O'KEEFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1053 ASHLAND AVE, SAINT PAUL, MN 55104-7004
(651) 292-8072
(651) 292-8722
Mailing address
1053 ASHLAND AVE, SAINT PAUL, MN 55104-7004
(651) 292-8072
(651) 292-8722

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3009
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202717800
MN
01
223M6OK
BLUE CROSS BLUE SHLIED
MN
Enumeration date
03/12/2007
Last updated
11/16/2012
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