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1831717115
MARTHA MARIE SHAW
LITTLE ROCK, AR
NPI
1831717115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AR 124525)
Enumeration Date
2020-07-13
Last Update Date
2020-07-21
Business Address
MARTHA MARIE SHAW CNP
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-8000
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Mailing Address
MARTHA MARIE SHAW CNP
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-8000
Copy
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