Mark Shea
Mark Shea is a Driver in Prior Lake, Minnesota. Licensed in Minnesota. Registered with an NPI since 2019.
- Licensed in
- MN
- In the registry since
- 2019
Practice location Address checks out
17242 Horizon Trl SEPrior Lake, MN 55372-3939
Phone: (612) 380-8301
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence T010234994001 (MN) |
|---|
Record details
| NPI number | 1932665403 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 20, 2019 |
| Last updated in NPPES | February 20, 2019 |
| Mailing address | 17242 Horizon Trl Se, Prior Lake, MN 55372-3939 |
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