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1487987491
ANDREA ELLEN CLARK SHAH
JACKSONVILLE, FL
NPI
1487987491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME91797)
Enumeration Date
2009-09-09
Last Update Date
2024-11-19
Business Address
Dr. ANDREA ELLEN CLARK SHAH M.D.
14810 OLD SAINT AUGUSTINE RD STE 106
JACKSONVILLE, FL 32258-2558
Phone number: 904-268-7701
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Mailing Address
Dr. ANDREA ELLEN CLARK SHAH M.D.
PO BOX 746638
ATLANTA, GA 30374-6638
Phone number: 904-202-2092
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