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1396786752
VIRGINIA SHAW
COLUMBUS, MS
NPI
1396786752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS R653063)
Enumeration Date
2006-06-09
Last Update Date
2007-07-08
Business Address
-- VIRGINIA SHAW NP
2520 5TH ST N
COLUMBUS, MS 39705-2008
Phone number: 904-805-1300
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Mailing Address
-- VIRGINIA SHAW NP
PO BOX 75473
BALTIMORE, MD 21275-5473
Phone number: 904-805-1300
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