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1700822020
MICHAEL SHANE STEVENSON
DECATUR, AL
NPI
1700822020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: AL 5063)
Enumeration Date
2006-06-22
Last Update Date
2009-10-21
Business Address
Dr. MICHAEL SHANE STEVENSON DMD, MD
1401 STRATFORD RD SE
DECATUR, AL 35601-6022
Phone number: 256-355-1242
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Mailing Address
Dr. MICHAEL SHANE STEVENSON DMD, MD
1401 STRATFORD RD SE
DECATUR, AL 35601-6022
Phone number: 256-355-1242
Copy
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