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1285486597
DALTON GARRETT SHAW
WINSTON SALEM, NC
NPI
1285486597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-02
Last Update Date
2024-04-02
Business Address
DALTON GARRETT SHAW MD
1920 W 1ST ST FL 3
WINSTON SALEM, NC 27104-4220
Phone number: 336-716-4479
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Mailing Address
DALTON GARRETT SHAW MD
7600 STATE HIGHWAY 16
SPARTA, WI 54656-4209
Phone number: 715-896-1395
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