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1104116797
LILLIAN SHAW
BASKING RIDGE, NJ
NPI
1104116797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
364SP0808X Clinical Nurse Specialist, Psych/Mental Health
(Licence: NJ 26NJ00144500)
Enumeration Date
2011-04-15
Last Update Date
2013-03-20
Business Address
-- LILLIAN SHAW APRN
58 SMITHFIELD CT
BASKING RIDGE, NJ 07920-2781
Phone number: 908-382-3179
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Mailing Address
-- LILLIAN SHAW APRN
58 SMITHFIELD CT
BASKING RIDGE, NJ 07920-2781
Phone number: 908-382-3179
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