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1144316340
JASON KIMBALL SHELLNUT
ROYAL OAK, MI
NPI
1144316340
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: IA R-6999)
Enumeration Date
2006-10-05
Last Update Date
2017-03-23
Business Address
Dr. JASON KIMBALL SHELLNUT M.D.
1121 CROOKS RD
ROYAL OAK, MI 48067-1301
Phone number: 248-541-8554
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Mailing Address
Dr. JASON KIMBALL SHELLNUT M.D.
1121 CROOKS RD
ROYAL OAK, MI 48067-1301
Phone number: 248-541-8554
Copy
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