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1073248787
SAMUEL TEAGAN SHAW
TWIN FALLS, ID
NPI
1073248787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 73570)
Enumeration Date
2022-07-18
Last Update Date
2022-07-19
Business Address
Mr. SAMUEL TEAGAN SHAW FNP-C
1835 HARRISON ST N UNIT 16104
TWIN FALLS, ID 83301-4294
Phone number: 208-431-3570
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Mailing Address
Mr. SAMUEL TEAGAN SHAW FNP-C
1835 HARRISON ST N UNIT 16104
TWIN FALLS, ID 83301-4294
Phone number: 208-431-3570
Copy
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