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1205936689
CYNTHIA SHAW IVAN
EL PASO, TX
NPI
1205936689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX 630269)
Enumeration Date
2006-09-25
Last Update Date
2023-05-11
Business Address
Ms. CYNTHIA SHAW IVAN NP
1545 GOODYEAR DR
EL PASO, TX 79936-6063
Phone number: 915-280-4684
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Mailing Address
Ms. CYNTHIA SHAW IVAN NP
1545 GOODYEAR DR STE D
EL PASO, TX 79936-6063
Phone number: 915-280-4684
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