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1790822146
WAYNE SHEPHERD
ROCKLEDGE, FL
NPI
1790822146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL 4167)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
-- WAYNE SHEPHERD
1264 US HIGHWAY 1
ROCKLEDGE, FL 32955-2746
Phone number: 321-632-1820
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Mailing Address
-- WAYNE SHEPHERD
1264 US HIGHWAY 1
ROCKLEDGE, FL 32955-2746
Phone number:
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