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Individual

ALLISON SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DIETITIAN

Contact information

Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-9667
Mailing address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86253807
NC

Other

Enumeration date
02/22/2022
Last updated
04/28/2026
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