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1073975835
GREGORY AUGUSTINE SHAW
TALLAHASSEE, FL
NPI
1073975835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP 9309633)
Enumeration Date
2016-03-22
Last Update Date
2016-03-25
Business Address
-- GREGORY AUGUSTINE SHAW ARNP
1300 MICCOSUKEE RD HOSPITALISTS GROUP
TALLAHASSEE, FL 32308-5054
Phone number: 850-431-4556
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Mailing Address
-- GREGORY AUGUSTINE SHAW ARNP
1300 MICCOSUKEE RD HOSPITALISTS GROUP
TALLAHASSEE, FL 32308-5054
Phone number: 850-431-4556
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