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1093551202
JACK DOUGLAS SHEPHERD
BIRMINGHAM, AL
NPI
1093551202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
JACK DOUGLAS SHEPHERD
1919 7TH AVE S
BIRMINGHAM, AL 35233-2005
Phone number: 205-934-3387
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Mailing Address
JACK DOUGLAS SHEPHERD
1919 7TH AVE S
BIRMINGHAM, AL 35233-2005
Phone number: 205-934-3387
Copy
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