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1124637434
THERESA DEE SHAW
KILLEEN, TX
NPI
1124637434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 968915)
Enumeration Date
2020-07-23
Last Update Date
2020-07-23
Business Address
THERESA DEE SHAW
1704 MLK JR BLVD LOT 80
KILLEEN, TX 76543-5409
Phone number: 254-535-2026
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Mailing Address
THERESA DEE SHAW
1704 MLK JR BLVD LOT 80
KILLEEN, TX 76543-5409
Phone number: 254-535-2026
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