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1356982466
BYRON MITCHELL SHOCK
ONTARIO, OR
NPI
1356982466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-10-01
Last Update Date
2019-10-01
Business Address
Dr. BYRON MITCHELL SHOCK
702 SUNSET DR
ONTARIO, OR 97914-3121
Phone number: 541-212-5245
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Mailing Address
Dr. BYRON MITCHELL SHOCK
1059 SW 2ND AVE
ONTARIO, OR 97914-2120
Phone number: 541-212-5245
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