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1730529421
MITCHELL T SHEPHERD
OREM, UT
NPI
1730529421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 5339107-1206)
Enumeration Date
2013-06-27
Last Update Date
2013-06-27
Business Address
-- MITCHELL T SHEPHERD PA-C
1350 E 750 N SUITE 1
OREM, UT 84097-4345
Phone number: 801-850-4250
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Mailing Address
-- MITCHELL T SHEPHERD PA-C
1350 E 750 N SUITE 1
OREM, UT 84097-4345
Phone number: 801-850-4250
Copy
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