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1063423994
TERRY GLEN SHAW
TULSA, OK
NPI
1063423994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103G00000X Clinical Neuropsychologist
(Licence: OK 373)
Enumeration Date
2006-08-09
Last Update Date
2013-07-31
Business Address
-- TERRY GLEN SHAW PhD
7146 S BRADEN SUITE 500
TULSA, OK 74136
Phone number: 918-488-6165
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Mailing Address
-- TERRY GLEN SHAW PhD
PO BOX 3010
MCALESTER, OK 74502-3010
Phone number: 918-426-6780
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