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1356674493
BRIAN TERRY SHAW
RANCHO CUCAMONGA, CA
NPI
1356674493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A10900)
Enumeration Date
2009-09-08
Last Update Date
2009-09-08
Business Address
-- BRIAN TERRY SHAW D.O.,
9089 BASELINE RD SUITE 100
RANCHO CUCAMONGA, CA 91730-1295
Phone number: 909-483-0505
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Mailing Address
-- BRIAN TERRY SHAW D.O.,
9089 BASELINE RD SUITE 100
RANCHO CUCAMONGA, CA 91730-1295
Phone number: 909-483-0505
Copy
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