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1336781905
JOE DEAN SHAW
SPARKS, NV
NPI
1336781905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-10-15
Last Update Date
2022-10-09
Business Address
JOE DEAN SHAW
820 15TH ST
SPARKS, NV 89431-0939
Phone number: 775-378-1916
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Mailing Address
JOE DEAN SHAW
10060 RACCOON CT
RENO, NV 89523-9605
Phone number: 775-378-1916
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