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1093297558
TARA SHAW
COLORADO SPRINGS, CO
NPI
1093297558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO APN.0993990-NP)
Enumeration Date
2018-08-31
Last Update Date
2019-10-11
Business Address
TARA SHAW
2920 N CASCADE AVE
COLORADO SPRINGS, CO 80907-6262
Phone number: 719-636-1201
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Mailing Address
TARA SHAW
2920 N CASCADE AVE STE 301
COLORADO SPRINGS, CO 80907-6265
Phone number: 719-636-1201
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