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1700277852
KELLY SHAW
LONG BEACH, CA
NPI
1700277852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 838797)
Enumeration Date
2015-02-11
Last Update Date
2015-02-11
Business Address
-- KELLY SHAW
5901 E 7TH ST
LONG BEACH, CA 90822-5201
Phone number: 562-826-8000
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Mailing Address
-- KELLY SHAW
1415 S PACIFIC AVE
SANTA ANA, CA 92704-3719
Phone number:
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