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1013016823
JAMES A SHUPE
FORT WAYNE, IN
NPI
1013016823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: IN 12008822A)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
-- JAMES A SHUPE DDS
3030 LAKE AVE SUITE 15
FORT WAYNE, IN 46805-5428
Phone number: 260-422-8419
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Mailing Address
-- JAMES A SHUPE DDS
3030 LAKE AVE SUITE 15
FORT WAYNE, IN 46805-5428
Phone number: 260-422-8419
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