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1477563179
CHARLES A SHEPARD
WINONA, MN
NPI
1477563179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MN 21197)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
-- CHARLES A SHEPARD MD
859 MANKATO AVE
WINONA, MN 55987
Phone number: 507-454-3680
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Mailing Address
-- CHARLES A SHEPARD MD
859 MANKATO AVE WINONA CLINIC LTD
WINONA, MN 55987
Phone number: 507-454-3680
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