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1306204631
DEXTER SHEPHERD
JOHNSON CITY, TN
NPI
1306204631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 174366)
Enumeration Date
2016-02-01
Last Update Date
2016-08-03
Business Address
-- DEXTER SHEPHERD NP
229 BART GREENE DR
JOHNSON CITY, TN 37615-4612
Phone number: 423-946-0971
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Mailing Address
-- DEXTER SHEPHERD NP
119 BOONE RIDGE DR STE 201
JOHNSON CITY, TN 37615-8000
Phone number: 423-282-1480
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