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1215990510
KRISTY MICHELE SHAW
VALDOSTA, GA
NPI
1215990510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT0003399)
Enumeration Date
2006-04-08
Last Update Date
2018-03-21
Business Address
Mrs. KRISTY MICHELE SHAW OT
304 EMORY ST
VALDOSTA, GA 31602-1808
Phone number: 229-244-1667
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Mailing Address
Mrs. KRISTY MICHELE SHAW OT
304 EMORY ST
VALDOSTA, GA 31602-1808
Phone number: 229-244-1667
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