BRIAN TERRY SHAW

RANCHO CUCAMONGA, CA
NPI1356674493
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A10900)
Enumeration Date2009-09-08
Last Update Date2009-09-08
Business Address
-- BRIAN TERRY SHAW D.O.,
9089 BASELINE RD SUITE 100
RANCHO CUCAMONGA, CA 91730-1295
Phone number: 909-483-0505
Mailing 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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