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1194425009
MICHAEL JE'LEN SHEPHERD
TEMPLE, TX
NPI
1194425009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA16916)
Enumeration Date
2023-03-08
Last Update Date
2023-08-15
Business Address
Mr. MICHAEL JE'LEN SHEPHERD
2401 S 31ST ST
TEMPLE, TX 76508-8505
Phone number: 254-724-1773
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Mailing Address
Mr. MICHAEL JE'LEN SHEPHERD
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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