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1548612153
TYLER JAY SHAW
PASCO, WA
NPI
1548612153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-07-07
Last Update Date
2020-10-02
Business Address
TYLER JAY SHAW PA
5304 ROAD 68
PASCO, WA 99301-8078
Phone number: 509-543-9300
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Mailing Address
TYLER JAY SHAW PA
6703 W RIO GRANDE AVE
KENNEWICK, WA 99336-2623
Phone number: 509-460-5588
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