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Individual

MICHELE SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1203 AVENUE A, BAYARD, NE 69334-1537
(816) 799-8190
Mailing address
1203 AVENUE A, BAYARD, NE 69334-1537
(816) 799-8190

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
82770
NE

Other

Enumeration date
03/21/2017
Last updated
03/21/2017
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