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1699306811
MASON M. SHIVES
GLASGOW, KY
NPI
1699306811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3014190)
Enumeration Date
2020-01-27
Last Update Date
2022-06-23
Business Address
MASON M. SHIVES
405 S L ROGERS WELLS BLVD
GLASGOW, KY 42141-1725
Phone number: 270-794-0260
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Mailing Address
MASON M. SHIVES
201 PARK ST
BOWLING GREEN, KY 42101-1708
Phone number: 270-781-5111
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