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1679681167
CHARLES JEFFREY SHIELDS
MEDFORD, OR
NPI
1679681167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OR DO26527)
Enumeration Date
2006-08-26
Last Update Date
2011-12-23
Business Address
-- CHARLES JEFFREY SHIELDS DO
842 E MAIN ST
MEDFORD, OR 97504-7134
Phone number: 541-773-7273
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Mailing Address
-- CHARLES JEFFREY SHIELDS DO
PO BOX 1705
MEDFORD, OR 97501-0132
Phone number: 541-773-7273
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