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JONATHAN LANE SHEPARD PA-C

PA-C

Physician Assistant

NPI: 1205174174Individual

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA.0004608(CO)

Contact & Hours

Address
1413 N MILDRED RD
CORTEZ, CO 81321

Quick Facts

NPI
1205174174
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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