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1912241704
KEVIN BRENT SHEDLOCK
GLENNALLEN, AK
NPI
1912241704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AK AA1001)
Enumeration Date
2012-11-16
Last Update Date
2012-11-16
Business Address
Dr. KEVIN BRENT SHEDLOCK DDS
MILE 187.5 GLENN HWY
GLENNALLEN, AK 99588
Phone number: 907-822-3113
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Mailing Address
Dr. KEVIN BRENT SHEDLOCK DDS
PO BOX 744
GLENNALLEN, AK 99588-0744
Phone number: 907-822-3113
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