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Individual

SHELDON SHAWN DOVERI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
233 NW REVERE AVE, BEND, OR 97701
(541) 318-0108
Mailing address
233 NW REVERE AVE, BEND, OR 97701
(541) 318-0108

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
6275531
OR
372500000X
Chore Provider
372600000X
Adult Companion
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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