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1326106931
KENNETH STEVEN SHAW
EVANS, GA
NPI
1326106931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TN 1483)
Enumeration Date
2006-12-05
Last Update Date
2007-07-08
Business Address
Dr. KENNETH STEVEN SHAW O.D.
997 WINDMILL PKWY
EVANS, GA 30809-6666
Phone number: 706-787-7155
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Mailing Address
Dr. KENNETH STEVEN SHAW O.D.
997 WINDMILL PKWY
EVANS, GA 30809-6666
Phone number: 706-787-7155
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