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1912345687
KENTON O SHAW
NASHVILLE, TN
NPI
1912345687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TN SP 0000004254)
Enumeration Date
2013-06-04
Last Update Date
2022-03-23
Business Address
Mr. KENTON O SHAW
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232-4487
Phone number: 615-936-2000
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Mailing Address
Mr. KENTON O SHAW
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 37215-2691
Phone number: 615-936-2000
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