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1417100223
CHARLES PHILIP SHAW
RICHMOND, KY
NPI
1417100223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 03139)
Enumeration Date
2008-10-24
Last Update Date
2020-09-14
Business Address
Dr. CHARLES PHILIP SHAW D.O.
1054 CENTER DR STE 2
RICHMOND, KY 40475-3851
Phone number: 859-625-5242
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Mailing Address
Dr. CHARLES PHILIP SHAW D.O.
800 ROSE ST
LEXINGTON, KY 40536-7001
Phone number:
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