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1154756294
MARK L SHEPHERD
LOUISVILLE, KY
NPI
1154756294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3008170)
Enumeration Date
2013-09-09
Last Update Date
2023-03-03
Business Address
MARK L SHEPHERD APRN
7926 PRESTON HWY STE. 106
LOUISVILLE, KY 40219-3848
Phone number: 502-964-4357
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Mailing Address
MARK L SHEPHERD APRN
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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