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Individual

ELIJAH R SHEPHERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
973 DAY RD, VASSAR, MI 48768-9264
(989) 882-7050
Mailing address
973 DAY RD, VASSAR, MI 48768-9264
(989) 882-7050

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
03/05/2025
Last updated
03/05/2025
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