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1124163068
GARY MICHAEL SHELLERUD
SPOKANE, WA
NPI
1124163068
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: WA 00005678)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
Dr. GARY MICHAEL SHELLERUD DDS, Periodontist
508 W 6TH AVE STE 208
SPOKANE, WA 99204-2730
Phone number: 509-838-4321
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Mailing Address
Dr. GARY MICHAEL SHELLERUD DDS, Periodontist
4309 E SILVER SPUR LN
SPOKANE, WA 99217-9321
Phone number: 509-467-2407
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