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1497917165
TREVECCA KERRY SHAW
LOUISVILLE, KY
NPI
1497917165
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: KY 00338)
Enumeration Date
2008-06-25
Last Update Date
2021-03-17
Business Address
Dr. TREVECCA KERRY SHAW DPM
2406 W BROADWAY
LOUISVILLE, KY 40211-1008
Phone number: 502-775-1711
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Mailing Address
Dr. TREVECCA KERRY SHAW DPM
1320 BELMONT AVE #1
YOUNGSTOWN, OH 44504-1130
Phone number: 330-747-3910
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