SAMUEL LEE SHEPARD

DAYTON, OH
NPI1730842840
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-10-15
Last Update Date2024-03-19
Business Address
SAMUEL LEE SHEPARD
405 W GRAND AVE
DAYTON, OH 45405-7538
Phone number: 937-723-3200
Mailing Address
SAMUEL LEE SHEPARD
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-919-9924