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1528197548
JACK W SHEPHERD
GEORGETOWN, KY
NPI
1528197548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: KY 3473)
Enumeration Date
2007-03-05
Last Update Date
2007-07-08
Business Address
Dr. JACK W SHEPHERD DMD
110 POCAHONTAS TRL SUITE E
GEORGETOWN, KY 40324-1167
Phone number: 502-863-4651
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Mailing Address
Dr. JACK W SHEPHERD DMD
110 POCAHONTAS TRL SUITE E
GEORGETOWN, KY 40324-1167
Phone number: 502-863-4651
Copy
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