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1891761474
JACLYN SHAW
SCHENECTADY, NY
NPI
1891761474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 010310-1)
Enumeration Date
2006-02-24
Last Update Date
2009-07-21
Business Address
-- JACLYN SHAW PA
1044 STATE ST
SCHENECTADY, NY 12307-1508
Phone number: 518-370-1441
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Mailing Address
-- JACLYN SHAW PA
1044 STATE ST
SCHENECTADY, NY 12307-1508
Phone number: 518-370-1441
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