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SHAWNA STROUTH-SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
320 BAWDEN ST APT 313, KETCHIKAN, AK 99901-6544
(907) 220-9982
Mailing address
PO BOX 1512, WARD COVE, AK 99928-1512
(907) 821-8073

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
129177
AK

Other

Enumeration date
02/08/2018
Last updated
02/08/2018
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