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1821647868
MICHELLE SHAW
BRONX, NY
NPI
1821647868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 334686-1)
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
MICHELLE SHAW
3276 KINGSLAND AVE
BRONX, NY 10469-2710
Phone number: 646-912-0129
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Mailing Address
MICHELLE SHAW
3276 KINGSLAND AVE
BRONX, NY 10469-2710
Phone number:
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