Individual
JEREMY MICHAEL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 MAIN ST, DURHAM, NH 03824-3572
(603) 862-3892
Mailing address
9 PATRIOT DR, EAST HAMPSTEAD, NH 03826-8208
(603) 325-1072
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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