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1619503208
DIANA TRANG SHAW
PUEBLO, CO
NPI
1619503208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CO DEN.00204311)
Enumeration Date
2020-03-16
Last Update Date
2020-07-13
Business Address
Dr. DIANA TRANG SHAW DDS
2603 VINEWOOD LN
PUEBLO, CO 81005-3370
Phone number: 719-564-6464
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Mailing Address
Dr. DIANA TRANG SHAW DDS
897 SAN ANTONIO PL
COLORADO SPRINGS, CO 80906-4906
Phone number: 906-869-3292
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