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1700905601
MELODY SHAW
DETROIT, MI
NPI
1700905601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601004921)
Enumeration Date
2007-03-29
Last Update Date
2015-07-29
Business Address
MELODY SHAW PA
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-745-8040
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Mailing Address
MELODY SHAW PA
4967 CROOKS RD STE 130
TROY, MI 48098-5801
Phone number: 248-952-1601
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