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Individual

ASHLEY CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2125 GRANITE DR, SHAKOPEE, MN 55379-2978
(952) 693-8203
Mailing address
2125 GRANITE DR, SHAKOPEE, MN 55379-2978
(952) 693-8203

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
2255A2300X
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MN

Other

Enumeration date
04/20/2016
Last updated
05/17/2016
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