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1598763641
COLLIE BLEVINS SHAW
CONWAY, AR
NPI
1598763641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: AR C7970)
Enumeration Date
2005-07-12
Last Update Date
2007-07-10
Business Address
DR. COLLIE BLEVINS SHAW M.D.
2200 ADA AVE SUITE 202
CONWAY, AR 72034-4985
Phone number: 501-327-3929
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Mailing Address
DR. COLLIE BLEVINS SHAW M.D.
2200 ADA AVE SUITE 202
CONWAY, AR 72034-4985
Phone number: 501-327-3929
Copy
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