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Individual

MRS. JULIE K ANDERSON-SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
78 FOREST PARK PLZ, BRAZIL, IN 47834-2737
(812) 443-2225
(812) 443-2226
Mailing address
78 FOREST PARK PLZ, P.O. BOX 481, BRAZIL, IN 47834-2737
(812) 443-2225
(812) 443-2226

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001618
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200072290
IN
Enumeration date
05/05/2006
Last updated
03/17/2008
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