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1942529649
MATTHEW SHAW
FONTANA, CA
NPI
1942529649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: CA 3960)
Enumeration Date
2010-05-20
Last Update Date
2021-12-10
Business Address
MATTHEW SHAW CRNA
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-4939
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Mailing Address
MATTHEW SHAW CRNA
9681 HILLSIDE RD
ALTA LOMA, CA 91737-4919
Phone number: 909-581-2461
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