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1376008144
SUSAN MARIE SHAW
TAMPA, FL
NPI
1376008144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9175285)
Enumeration Date
2019-02-06
Last Update Date
2019-02-06
Business Address
SUSAN MARIE SHAW APRN
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number: 813-745-4839
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Mailing Address
SUSAN MARIE SHAW APRN
12902 USF MAGNOLIA DR
TAMPA, FL 33612-9416
Phone number:
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