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1760002448
RYAN E SHAW
ORMOND BEACH, FL
NPI
1760002448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL APRN11006557)
Enumeration Date
2020-04-22
Last Update Date
2020-04-22
Business Address
Mr. RYAN E SHAW APRN
725 W. GRANADA BLVD STE 22
ORMOND BEACH, FL 32174-5107
Phone number: 386-788-2300
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Mailing Address
Mr. RYAN E SHAW APRN
725 W. GRANADA BLVD STE 22
ORMOND BEACH, FL 32174-5107
Phone number: 386-788-2300
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