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1609946441
SAMUEL L SHACKELFORD
LAWRENCEBURG, TN
NPI
1609946441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TN DS3400)
Enumeration Date
2006-11-09
Last Update Date
2007-07-08
Business Address
DR. SAMUEL L SHACKELFORD DDSPC
336 ROBBINS ST
LAWRENCEBURG, TN 38464
Phone number: 931-762-2894
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Mailing Address
DR. SAMUEL L SHACKELFORD DDSPC
336 ROBBINS ST
LAWRENCEBURG, TN 38464
Phone number: 931-762-2894
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