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Individual

LILLIAN SHEPARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3524 DICKEY MILL RD, MEBANE, NC 27302-9006
(336) 578-8374
(336) 578-0633
Mailing address
3524 DICKEY MILL RD, MEBANE, NC 27302-9006
(336) 578-8374
(336) 578-0633

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
08/13/2010
Last updated
08/13/2010
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