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1588096390
KEVIN JAY SHIVELY
LUBBOCK, TX
NPI
1588096390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 34543)
Enumeration Date
2013-08-02
Last Update Date
2021-03-17
Business Address
Dr. KEVIN JAY SHIVELY DMD
12219 QUAKER AVE STE A
LUBBOCK, TX 79424-7783
Phone number: 806-698-8660
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Mailing Address
Dr. KEVIN JAY SHIVELY DMD
12219 QUAKER AVE STE A
LUBBOCK, TX 79424-7783
Phone number: 806-698-8660
Copy
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