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Individual

DR. SHANE LEMYEL HARMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4212 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360-3131
(219) 874-7224
(219) 879-8153
Mailing address
4212 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360-3131
(219) 874-7224
(219) 879-8153

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012138A
IN

Other

Enumeration date
07/07/2014
Last updated
07/07/2014
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