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1720090699
JERRY R SHIELDS
PUYALLUP, WA
NPI
1720090699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: WA MD00039681)
Enumeration Date
2006-08-12
Last Update Date
2011-01-20
Business Address
-- JERRY R SHIELDS MD
1703 S. MERIDIAN SUITE 101
PUYALLUP, WA 98371
Phone number: 253-848-3000
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Mailing Address
-- JERRY R SHIELDS MD
1703 S. MERIDIAN SUITE 101
PUYALLUP, WA 98371
Phone number: 253-848-3000
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