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1407283500
LEVI J.O. SHULL
SALEM, OR
NPI
1407283500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OR D9962)
Enumeration Date
2013-10-03
Last Update Date
2019-07-23
Business Address
LEVI J.O. SHULL D.M.D.
1211 LIBERTY ST SE
SALEM, OR 97302-4243
Phone number: 503-362-5019
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Mailing Address
LEVI J.O. SHULL D.M.D.
6395 KEIZER STATION BLVD
SALEM, OR 97304
Phone number:
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