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1578144515
AVI SHAW
BOARDMAN, OH
NPI
1578144515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery
(Licence: OH 58.032292)
Enumeration Date
2021-04-20
Last Update Date
2021-06-28
Business Address
AVI SHAW
8401 MARKET ST
BOARDMAN, OH 44512-6725
Phone number: 443-805-7713
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Mailing Address
AVI SHAW
7707 E 6TH ST
SCOTTSDALE, AZ 85251-5715
Phone number:
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