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1912127382
TARA M SHAW
MADISON, WI
NPI
1912127382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 2137-23)
Enumeration Date
2007-04-26
Last Update Date
2020-12-12
Business Address
TARA M SHAW PA-C
1821 S STOUGHTON RD
MADISON, WI 53716-2257
Phone number: 608-260-6000
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Mailing Address
TARA M SHAW PA-C
1821 S STOUGHTON RD
MADISON, WI 53716-2257
Phone number: 608-260-6000
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