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1467035527
MARK T SHEPHARD
BETHLEHEM, PA
NPI
1467035527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA OT020693)
Enumeration Date
2021-05-05
Last Update Date
2021-05-05
Business Address
MARK T SHEPHARD DO, MS
2545 SCHOENERSVILLE RD FL 5
BETHLEHEM, PA 18017-7300
Phone number: 884-484-6527
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Mailing Address
MARK T SHEPHARD DO, MS
2545 SCHOENERSVILLE RD FL 5
BETHLEHEM, PA 18017-7300
Phone number:
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