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1497741284
DAVID SHAW
JUPITER, FL
NPI
1497741284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: FL PY0003539)
Enumeration Date
2005-09-27
Last Update Date
2013-08-01
Business Address
DAVID SHAW
18384 LOST LAKE WAY
JUPITER, FL 33458-3805
Phone number: 561-444-7038
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Mailing Address
DAVID SHAW
18384 LOST LAKE WAY
JUPITER, FL 33458-3805
Phone number: 561-444-7038
Copy
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