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1477729168
GARY N. SHIELDS DPM LLC
LITCHFIELD, CT
NPI
1477729168
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Entity Type
Organization
Authorized Contact
BRENDA AUTRY
Agent
386-774-5211
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
Enumeration Date
2008-05-02
Last Update Date
2009-05-05
Business Address
GARY N. SHIELDS DPM LLC
340 BANTAM RD SUITE 1-B
LITCHFIELD, CT 06759-3318
Phone number: 860-567-1600
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Mailing Address
GARY N. SHIELDS DPM LLC
PO BOX 741240
ORANGE CITY, FL 32774-1240
Phone number: 386-774-5211
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GARY N SHIELDS