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1982187274
JORDAN ANTHONY SHAW
KANSAS CITY, KS
NPI
1982187274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WC0200X Registered Nurse Critical Care Medicine
(Licence: KS 14-140762-091)
Enumeration Date
2018-09-12
Last Update Date
2018-09-12
Business Address
JORDAN ANTHONY SHAW
3901 RAINBOW BLVD
KANSAS CITY, KS 66160-8500
Phone number: 913-588-5000
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Mailing Address
JORDAN ANTHONY SHAW
2831 N 114TH TER
KANSAS CITY, KS 66109-7505
Phone number: 913-710-9442
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