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1063482917
MICHAEL N SHAW
WICHITA, KS
NPI
1063482917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: KS 15-00115)
Enumeration Date
2006-01-24
Last Update Date
2015-09-17
Business Address
MICHAEL N SHAW PA
2600 N WOODLAWN ST
WICHITA, KS 67220-2729
Phone number: 316-684-3838
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Mailing Address
MICHAEL N SHAW PA
2600 N WOODLAWN ST
WICHITA, KS 67220-2729
Phone number: 316-684-3838
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