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1003810995
MICHAEL VISE SHELTON
ODESSA, TX
NPI
1003810995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX E8905)
Enumeration Date
2005-06-08
Last Update Date
2010-07-20
Business Address
Dr. MICHAEL VISE SHELTON M.D.
4222 WENDOVER AVE STE 600
ODESSA, TX 79762-5983
Phone number: 432-552-5656
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Mailing Address
Dr. MICHAEL VISE SHELTON M.D.
4222 WENDOVER AVE STE 600
ODESSA, TX 79762-5983
Phone number: 432-552-5656
Copy
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