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1730842840
SAMUEL LEE SHEPARD
DAYTON, OH
NPI
1730842840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-10-15
Last Update Date
2024-03-19
Business Address
SAMUEL LEE SHEPARD
405 W GRAND AVE
DAYTON, OH 45405-7538
Phone number: 937-723-3200
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Mailing Address
SAMUEL LEE SHEPARD
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-919-9924
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