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1689229809
CARLY SHAW
LEES SUMMIT, MO
NPI
1689229809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MO 2019026180)
Enumeration Date
2019-08-05
Last Update Date
2019-08-05
Business Address
CARLY SHAW APRN
4880 NE GOODVIEW CIR
LEES SUMMIT, MO 64064-1996
Phone number: 816-478-4200
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Mailing Address
CARLY SHAW APRN
3340 NE RALPH POWELL RD STE B
LEES SUMMIT, MO 64064-2368
Phone number: 816-478-4200
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