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1699885145
SHELBY WAYNE DECKARD
SPRINGFIELD, MO
NPI
1699885145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 33472)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. SHELBY WAYNE DECKARD MD
3230 E RIDGEVIEW
SPRINGFIELD, MO 65804
Phone number: 417-882-1822
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Mailing Address
Dr. SHELBY WAYNE DECKARD MD
3230 E RIDGEVIEW
SPRINGFIELD, MO 65804
Phone number: 417-882-1822
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