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1760010268
TANNER STEVEN SHAW
ALBUQUERQUE, NM
NPI
1760010268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-30
Last Update Date
2020-03-30
Business Address
DR. TANNER STEVEN SHAW DO
MSC 10-5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-4661
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Mailing Address
DR. TANNER STEVEN SHAW DO
MSC 10-5550 I UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131-0001
Phone number:
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