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1053046235
WILLIAM VIRGIL LEE SHEPHERD
ST PETERSBURG, FL
NPI
1053046235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT11955)
Enumeration Date
2022-07-21
Last Update Date
2022-07-21
Business Address
WILLIAM VIRGIL LEE SHEPHERD
550 62ND ST S
ST PETERSBURG, FL 33707-1533
Phone number: 727-347-6151
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Mailing Address
WILLIAM VIRGIL LEE SHEPHERD
6231 29TH ST S
SAINT PETERSBURG, FL 33712-4531
Phone number: 727-667-5426
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