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1770964496
SHAWN JEFFREY MOULDER
DEARBORN, MI
NPI
1770964496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MI 5101022023)
Enumeration Date
2015-06-18
Last Update Date
2015-06-18
Business Address
Dr. SHAWN JEFFREY MOULDER D.O.
18101 OAKWOOD BLVD
DEARBORN, MI 48124-4089
Phone number: 313-593-7000
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Mailing Address
Dr. SHAWN JEFFREY MOULDER D.O.
19756 S GLEN BLVD APT C
BROWNSTOWN TWP, MI 48183-4928
Phone number: 573-280-7022
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