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1003357146
ANDREW SHELBY
IOWA CITY, IA
NPI
1003357146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IA Res-30506)
Enumeration Date
2017-03-08
Last Update Date
2017-10-11
Business Address
ANDREW SHELBY
322 DENTAL SCIENCE S
IOWA CITY, IA 52242-1001
Phone number: 319-335-7440
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Mailing Address
ANDREW SHELBY
5332 E BASELINE RD APT 3024
MESA, AZ 85206-4717
Phone number:
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