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1306059308
DAVID LEE SHIVELEY
QUANTICO, VA
NPI
1306059308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2083A0100X Preventive Medicine, Aerospace Medicine
(Licence: VA 0101055574)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Dr. DAVID LEE SHIVELEY M.D., M.P.H.
3259 CATLIN AVE
QUANTICO, VA 22134-5109
Phone number: 703-784-1528
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Mailing Address
Dr. DAVID LEE SHIVELEY M.D., M.P.H.
3259 CATLIN AVE
QUANTICO, VA 22134-5109
Phone number:
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