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1093793713
JACOB D SHAW
WICHITA, KS
NPI
1093793713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: KS 1665)
Enumeration Date
2006-01-03
Last Update Date
2007-11-21
Business Address
Dr. JACOB D SHAW O.D.
2251 N WOODLAWN ST
WICHITA, KS 67220-3947
Phone number: 316-686-6063
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Mailing Address
Dr. JACOB D SHAW O.D.
2251 N WOODLAWN ST
WICHITA, KS 67220-3947
Phone number: 316-686-6063
Copy
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