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1134961071
JESSICA LORIN JEWELL SHAW
WICHITA, KS
NPI
1134961071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KS 94-11916)
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
Dr. JESSICA LORIN JEWELL SHAW MD
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-293-2665
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Mailing Address
Dr. JESSICA LORIN JEWELL SHAW MD
4500 S LAURA ST
WICHITA, KS 67216-1943
Phone number: 913-748-5815
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