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Individual

MARY LOUISE SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9336 MADISON RD NE, WASHINGTON COURT HOUSE, OH 43160-9341
(740) 869-4674
Mailing address
9275 MADISON RD NE, WASHINGTON COURT HOUSE, OH 43160-8633
(740) 869-4674

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
35. 049643
OH

Other

Enumeration date
05/31/2007
Last updated
07/08/2007
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