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1194348862
SHANNON MARY SHAW
GREELEY, CO
NPI
1194348862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO TL.0008464)
Enumeration Date
2020-05-28
Last Update Date
2020-08-12
Business Address
SHANNON MARY SHAW MD
1600 23RD AVE
GREELEY, CO 80634-6070
Phone number: 970-810-2815
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Mailing Address
SHANNON MARY SHAW MD
1600 23RD AVE
GREELEY, CO 80634-6070
Phone number: 970-810-2815
Copy
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