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1609520055
THERESA SHAW
ROCHESTER, NY
NPI
1609520055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 349389)
Enumeration Date
2022-02-04
Last Update Date
2022-07-26
Business Address
THERESA SHAW NP
1445 PORTLAND AVE STE 302
ROCHESTER, NY 14621-3008
Phone number: 585-544-1120
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Mailing Address
THERESA SHAW NP
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-544-1120
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