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1366505265
E CARL SHAW
WARNER ROBINS, GA
NPI
1366505265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN008543)
Enumeration Date
2006-12-19
Last Update Date
2007-07-08
Business Address
Mr. E CARL SHAW D.M.D.
1267 RUSSELL PKWY
WARNER ROBINS, GA 31088-5582
Phone number: 478-923-0253
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Mailing Address
Mr. E CARL SHAW D.M.D.
1267 RUSSELL PKWY
WARNER ROBINS, GA 31088-5582
Phone number: 478-923-0253
Copy
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