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1295001642
JOSEPH SHEPHERD
PALM COAST, FL
NPI
1295001642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AL 700)
Enumeration Date
2012-03-30
Last Update Date
2012-03-30
Business Address
-- JOSEPH SHEPHERD
25 PINE CONE DR
PALM COAST, FL 32164-8423
Phone number: 800-796-0923
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Mailing Address
-- JOSEPH SHEPHERD
25 PINE CONE DR
PALM COAST, FL 32164-8423
Phone number: 800-796-0923
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