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1487383568
SHADREKA SHAW
TALLAHASSEE, FL
NPI
1487383568
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL 11020055)
Enumeration Date
2022-06-06
Last Update Date
2022-06-06
Business Address
SHADREKA SHAW
1820 MICCOSUKEE COMMONS DR
TALLAHASSEE, FL 32308-5432
Phone number: 850-765-8120
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Mailing Address
SHADREKA SHAW
893 ARLINGTON CIR
QUINCY, FL 32351-4027
Phone number: 850-321-6189
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