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1144968454
MIKAELA SHAW
CENTRAL CITY, NE
NPI
1144968454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NE 7818)
Enumeration Date
2022-05-25
Last Update Date
2022-05-25
Business Address
Dr. MIKAELA SHAW DDS
2602 18TH AVE
CENTRAL CITY, NE 68826-9761
Phone number: 308-946-3059
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Mailing Address
Dr. MIKAELA SHAW DDS
702 8TH ST
EDGAR, NE 68935-3116
Phone number: 402-984-2993
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