SAMUEL TEAGAN SHAW

TWIN FALLS, ID
NPI1073248787
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: ID  73570)
Enumeration Date2022-07-18
Last Update Date2022-07-19
Business Address
MR. SAMUEL TEAGAN SHAW FNP-C
1835 HARRISON ST N UNIT 16104
TWIN FALLS, ID 83301-4294
Phone number: 208-431-3570
Mailing Address
MR. SAMUEL TEAGAN SHAW FNP-C
1835 HARRISON ST N UNIT 16104
TWIN FALLS, ID 83301-4294
Phone number: 208-431-3570
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